12 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid ... and Differential Diagnosis ... Do you need an ABG ... Generally, for acid ... Disorders #Evaluation #workup
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... ) = {Na - (Cl + ... - Differential Diagnosis ... #ABG #bloodgas ... #Acid #Base #Gas
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... of sodium and potassium ... acid salts. ... #Metabolic #Alkalosis ... #differential #diagnosis
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... Interpretation and Acid-Base ... need to do more work ... AmyChung #AcidBase #ABG ... #Diagnosis
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Differential Diagnosis ... alkalosis - Fistulas ... secretion • Acid-base ... components of acid-base ... #Differential #Diagnosis
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Hypomagnesemia - Metabolic ... Alkalosis - Elevated ... Fractional excretion of Cl ... - Normal Renal Ultrasound ... #Workup #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Non-anion Gap Metabolic ... , Pyroglutamic acid ... Potassium-sparing ... ACE-Is and ARBs ... #differential #diagnosis
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
mobilizes fatty acids ... hormones that work ... The metabolism of ... provided the starting potassium ... #diagnosis #differential
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
resistance • Metabolic ... alkalosis • Familial ... disequilibrium syndrome • Diagnosis ... Inhibitors of Na+K+2Cl ... Bumetanide, Ethacrynic acid
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... • Serum uric acid ... protein) to exclude metabolic ... (to support a diagnosis ... #diagnosis #testing