12 results
Diabetic Ketoacidosis 
Management Priorities
1. Fluids 
2. Insulin 
3. Potassium 
4. Acidosis 
5. Re-establish oral fluids,
Diabetic Ketoacidosis ... Identification and treatment ... an underlying cause ... #DKA #Diabetic ... Management #Pediatrics #Peds
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
DKA DIAGNOSTIC CRITERIA ... patients with type 2 diabetes ... have new-onset diabetes ... are Euglycemic Diabetic ... Treatment with IV
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary

Symptoms:
• Abdominal pain
• Nausea
• Polyuria
• Polydipsia
• Vomiting
• Weight loss
•
Diabetic Ketoacidosis ... (DKA) - Diagnosis ... Abdominal pain • Nausea ... of 4 following criteria ... #Diabetic #Ketoacidosis
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary

Symptoms:
• Abdominal pain
• Nausea
• Polyuria
• Polydipsia
• Vomiting
• Weight loss
•
Diabetic Ketoacidosis ... (DKA) - Diagnosis ... Abdominal pain • Nausea ... of 4 following criteria ... #Diabetic #Ketoacidosis
SGLT2 Inhibitors and Euglycemic DKA

Risk factors for euglycemic DKA in those on an SGLT2i include:
 •
and Euglycemic DKA ... for euglycemic DKA ... consumption Diagnostic criteria ... serum or urine Treatment ... therapy in severe cases
Infographic depicting the main pearls of various types of congenital adrenal hyperplasia for the medical student.
CAH #algorithm #causes ... CongenitalAdrenalHyperplasia #diagnosis #comparison ... #treatment #Peds
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis - Kupperman et al. NEJM 2018

https://www.nejm.org/doi/full/10.1056/NEJMoa1716816
Study
for Pediatric Diabetic ... generally our biggest causes ... administration is not the cause ... out what does cause ... VisualAbstract #Peds
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm
Hepatobiliary:
 • Acute Hepatitis
 • Acute
Gastrointestinal and Systemic Causes ... Pregnancy • Diabetes ... / DKA • Uremia ... Diagnosis #Algorithm #Causes ... #Peds #Pediatrics
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: ARDS Berlin Criteria ... without other cause ... : 33% • Treatment ... : No • Treatment ... hematology #diagnosis #comparison
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate ... perfusion - shock->treatments ... before beginning treatment ... • Type B1: - Diabetes ... mellitus/DKA