13 results
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 ... common trigger for DKA ... 2.6% to 3.2% of DKA ... Patients with DKA ... Treatment with IV
SGLT2 Inhibitors and Euglycemic DKA

Risk factors for euglycemic DKA in those on an SGLT2i include:
 •
and Euglycemic DKA ... for euglycemic DKA ... serum or urine Treatment ... SGLT2 #Euglycemic #DKA ... #EDKA #Toxicity
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary

Symptoms:
• Abdominal pain
• Nausea
• Polyuria
• Polydipsia
• Vomiting
• Weight loss
•
Ketoacidosis (DKA ... Abdominal pain • Nausea ... , and death DKA ... of 4 following criteria ... 200 mg/dL #DKA
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary

Symptoms:
• Abdominal pain
• Nausea
• Polyuria
• Polydipsia
• Vomiting
• Weight loss
•
Ketoacidosis (DKA ... Abdominal pain • Nausea ... , and death DKA ... of 4 following criteria ... 200 mg/dL #DKA
Diabetic Ketoacidosis 
Management Priorities
1. Fluids 
2. Insulin 
3. Potassium 
4. Acidosis 
5. Re-establish oral fluids,
Identification and treatment ... an underlying cause ... #DKA #Diabetic ... Management #Pediatrics #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
resuscitation in DKA ... brain injury in DKA ... brain injury in DKA ... VisualAbstract #Peds ... #Pediatrics #DKA
Infographic depicting the main pearls of various types of congenital adrenal hyperplasia for the medical student.
CAH #algorithm #causes ... CongenitalAdrenalHyperplasia #diagnosis #comparison ... #treatment #Peds
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... Presentation seems like DKA ... exposure Symptoms: Nausea ... diagnosis #management #Treatment
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm
Hepatobiliary:
 • Acute Hepatitis
 • Acute
Gastrointestinal and Systemic Causes ... • Diabetes/ DKA ... 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