66 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Differential Diagnosis ... Ketoacidosis, Renal ... loss of bicarb, Renal ... GI loss of H+, Renal ... #workup #Differential
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
in the urine - Renal ... Renal Loss of HCO3 ... - Renal insufficiency ... Hypoaldosteronism - Renal ... #Diagnosis #Workup
Evaluation of Secondary Hypertension
 • Primary aldosteronism - PRA, PAC
 • Renal artery stenosis - Renal
Evaluation of Secondary ... - PRA, PAC • Renal ... artery stenosis - Renal ... Hypertension #resistant #Evaluation ... #workup #diagnosis
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... - Differential ... Diagnosis Framework ... Shift: • Lactic acidosis ... CKD Increased Renal
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... - Differential ... Diagnosis Algorithm ... = Hyperkalemic Renal ... uncimchiefs #RTA #Renal
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Renal artery stenosis ... #Algorithm #Diagnosis ... #Causes #Workup
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
Gap Metabolic Acidosis ... (HAGMA) - Differential ... Diagnosis - GOLDMARK ... ketoacidosis Renal ... acids in advanced renal
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses ... • Metabolic acidosis ... loss (Diarrhea) Renal
GOLDMARK - Mnemonic for Anion Gap Metabolic Acidosis
G - Glycols
O - Oxoproline
L - L-Lactate
D - D-Lactate
M
Gap Metabolic Acidosis ... - Aspirin R - Renal ... AnionGap #Metabolic #Acidosis ... #diagnosis #differential
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis ... Type A Lactic Acidosis ... bowel (D-lactate), Renal ... #TypeA #TypeB #diagnosis ... #differential #