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diagnosis alkalosis bloodgas differential interpretation nephrology abg acid acidosis base bicarbonate chloride disorders elevated gas gout hypochloremia respiratory rheumatology summary
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
obstruction • COPD ... • Salicylates Metabolic ... D - Diarrhea/diuretics ... MD @nickmmark #acidbase ... #workup #algorithm
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 ... Adenoma • Remote Diuretics ... Bicarbonate #Elevated #metabolic ... #alkalosis #algorithm
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... disease states Pathophysiology ... • Male sex • Metabolic ... • Medications (diuretics ... #Gout #Comparison
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Respiratory or Metabolic ... Respiratory or Metabolic ... Volume depletion (diuresis ... lung disease (COPD ... MDaniyalHashmi1 #AcidBase
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... Excessive vomiting - Metabolic ... RENAL LOSS: - Diuresis ... Differential #Diagnosis #Algorithm ... #Pathophysiology
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