gitelman syndrome

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Last updated 2:39 PM on 8/12/26
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Which nephron segment is affected in Gitelman syndrome?

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DCT.

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Which transporter is defective in Gitelman syndrome?

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Na⁺-Cl⁻ cotransporter (NCC).

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What is the inheritance pattern of Gitelman syndrome?

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Autosomal recessive.

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Typical age of presentation of Gitelman syndrome?

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Adolescence/adulthood.

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What is the characteristic acid-base/electrolyte pattern?

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Hypokalemic metabolic alkalosis + hypomagnesemia.

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What happens to urinary calcium in Gitelman syndrome?

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Hypocalciuria.

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Why does Gitelman syndrome cause hypomagnesemia?

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DCT dysfunction → impaired Mg²⁺ reabsorption.

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Which is more likely to cause tetany: Bartter or Gitelman?

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Gitelman, due to hypomagnesemia.

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Bartter vs Gitelman: urinary calcium?

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Bartter ↑; Gitelman ↓.

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Bartter vs Gitelman: nephrocalcinosis?

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Bartter → more likely; Gitelman → less likely.

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Bartter vs Gitelman: polyuria/dehydration?

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Bartter → more; Gitelman → less.

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Bartter vs Gitelman: hypomagnesemia?

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Gitelman → low Mg²⁺; Bartter → usually less prominent, except some types.