58 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 ... cases occur in ... ketoacidosis include nausea ... Treatment with IV ... the anion gap closes
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
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
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
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 ... generally our biggest causes ... administration is not the cause ... out what does cause ... VisualAbstract #Peds
Infographic depicting the main pearls of various types of congenital adrenal hyperplasia for the medical student.
CAH #algorithm #causes ... diagnosis #comparison #treatment ... #Peds #Endocrinology
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
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Don't rely on criteria ... • Tx: Meds vs ... whether AF is cause ... Tx: Underlying cause ... Narrow #Irregular #causes
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm
Hepatobiliary:
 • Acute Hepatitis
 • Acute
Gastrointestinal and Systemic Causes ... • Diabetes/ DKA ... Diagnosis #Algorithm #Causes ... #Peds #Pediatrics