Urine Chloride (Cl)
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- Опубликовано: 21 май 2023
- Urine Chloride (Cl) | Lab results…high serum chloride, low serum chloride, high urine chloride, low urine chloride.
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Excellent. When a negative leaveth the cell a negative entereth!
:)
Thank you for your efforts🇩🇿
You’re most welcome!
@11:40 you mentioned urine chloride to be high in Conns and Cushing but @ 15:00 you say Urine chloride is low. Which one is right with explanation please. Thank you!
i think this is specific for metabolic alkalosis and saline responsivness, for example in the setting of Conns, You may have increased aldosterone secretion of H+ ions in the Tubules, this will result in more CL- used to buffer in the urine and the urinary cl > 20 will result in a nonresponse if you adminster NACL to correct the alkalosis. because the problem is not loss of urinary chloride or (Volume) it is excessive secretion of H+.
But in general, Urinary Chloride in Conns will be low becaue we are absorbing more salt and chloride follows salt. in this situation a different mechanism is responsible for chloride wasting which is buffer system and not salt following system if that makes sense.
@10:19 how is Na loss (diuretics) causes low urine chloride? Shouldnt it be the opposite... chloride follows Na and diuretics also block the na/k/2cl or Na/cl channel leading to high urine chloride
Thank u so much dear sir
My pleasure 😇
Would you please help me by sharing?
thank you medicosis. I have one question, how in the case of diuretic (where Na lost in urine) urine Cl is low? Doesn't Cl follow Na ?
in this slide 10:00
@@mariamaboutouk8849I think this is in a specific setting, where diuretic overuse leads to hypokalemic alkalosis with reduced tubular NH4- secretion where Cl- follows it in the urine.
Otherwise there is little point of measuring urine electrolytes while taking diuretics.
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