44 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
the Anion Gap (AG ... the change in AG ... Do you need an ABG ... approximates an ABG ... Disorders #Evaluation #workup
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Insulin Autoimmune Syndrome ... glucose q6 hrs until BG ... Continue until BG ... In insulinoma, BG ... Insulin Autoimmune Syndrome
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan → Indoxyl
Purple Urine Bag ... Syndrome Chronic ... Purple #Urine #Bag ... #Syndrome #PUBS ... clinical #photo #differential
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management Differential ... Bronchospasm, Pulmonary ... BNP, Troponin), ABG ... Management #treatment #criticalcare
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
ABG And BMP Normal ... : Anion Gap (AG ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... Summary #Nephrology #ABG
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
DFA sputum, LDH, ABG ... Ag, Urine Histo ... Ag, Respiratory ... Infections #HIVAIDS #workup ... diagnosis #evaluation #differential
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... poor air flow • ABG ... Abnormally normal ABG ... #Exacerbation #CriticalCare ... #pulmonary #ventilation
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... normalize the ABG ... than monitoring ABG ... failure), not the ABG ... #Management #CriticalCare
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
- CBC with differential ... - ABG/VBG only ... tox/infectious workup ... Delirium #Evaluation #Workup ... #MICU #CriticalCare
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Acidosis (NAGMA) - Differential ... Framework and Workup ... NAGMA - Chem, ABG ... Metabolic #NAGMA #Differential ... #Diagnosis #Workup