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diagnosis bloodgas differential interpretation metabolic 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 ... D - Diarrhea/diuretics ... - Contraction alkalosis ... 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 ... Likely Metabolic Alkalosis ... Adenoma • Remote Diuretics ... Elevated #metabolic #alkalosis ... #algorithm #diagnosis
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... About CPPD When ... disease states Pathophysiology ... • Medications (diuretics ... #Gout #Comparison
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
↑ ↑ Metabolic alkalosis ... Acidosis ↑ ↓ Resp Alkalosis ... Volume depletion (diuresis ... lung disease (COPD ... MDaniyalHashmi1 #AcidBase
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... - Metabolic alkalosis ... RENAL LOSS: - Diuresis ... cause metabolic alkalosis ... #Pathophysiology
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