18 results
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
obstruction • COPD ... Alkalosis - “BLVD ... Vomiting D - Diarrhea ... nickmmark #acidbase #workup ... #algorithm #diagnosis
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... Metabolic alkalosis ... #Diagnosis #Causes ... #Workup #Nephrology
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Exacerbation of COPD ... workup for alternate ... COPD Assess ... MatthewHoMD #COPD ... #AECOPD #Algorithm
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... - Differential Diagnosis ... Algorithm - Urinary ... #Diagnosis #Algorithm ... #causes #urinary
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... acidosis: - Diarrhea ... of Metabolic Alkalosis ... lung disease (COPD ... Interpretation #Diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Urinary Chloride Algorithm ... the indicated causes ... #Metabolic #Alkalosis ... #differential #diagnosis
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Myxedema Coma, Metabolic ... Alkalosis • Shunt ... pHTN, Advanced COPD ... Disease: Asthma, COPD ... #causes #pulmonary
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
(Hx of COPD, OSA ... Gas) (-) Likely Metabolic ... Alkalosis Urine ... #alkalosis #algorithm ... #diagnosis
Causes of Approach to Altered Level of Consciousness - Workup
Clinical Exam - Focal
 • Trauma
 •
Causes of Approach ... Hemorrhage • See ... Bloodwork - No Metabolic ... #diagnosis #workup ... #algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... tubal acidosis and metabolic ... alkalosis, Ketonuria ... losses, Vomiting, Diarrhea ... #Algorithm #Causes