25 results
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
Respiratory Acidosis and Alkalosis ... - Diagnostic Algorithm ... Methanol (formic acid ... glycol (-> oxalic acid ... acidosis - Diarrhea
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Acid Base and Blood ... Vomiting D - Diarrhea ... nickmmark #acidbase #workup ... #algorithm #diagnosis ... #acidosis #alkalosis
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... Congenital chloride diarrhea ... - Normal/low ... acidosis: Chronic diarrhea ... poisoning • Normal acid-base
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... • Normal/low ... poisoning Normal acid-base ... and potassium acid ... Chloride #urine #Algorithm
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid ... delta/delta) to see ... 3) Now, look at ... Generally, for acid ... Disorders #Evaluation #workup
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... Periodic paralysis Alkalosis ... Metabolic alkalosis ... Diagnosis #Causes #Workup
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Transcellular Shift: • Alkalosis ... losses (NG suction, diarrhea ... vomiting) • Low ... #nephrology #low
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Malabsorption, Chronic diarrhea ... Glucose, Acute resp. alkalosis ... • Normal or Low ... - Normal or Low
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Differential Diagnosis Algorithm ... Appropriately Low ... Absorption: Chronic Diarrhea ... Acute Respiratory Alkalosis ... nephrology #phosphorus #workup
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... - Metabolic alkalosis ... NGT suction - Diarrhea ... secretion • Acid-base