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diagnosis differential metabolic nephrology acidbase acidosis bicarbonate bloodgas causes chloride elevated gout hypochloremia hypokalemia interpretation respiratory rheumatology
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
obstruction • COPD ... D - Diarrhea/diuretics ... nickmmark #acidbase #workup ... #algorithm #diagnosis ... #acidosis #alkalosis
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Periodic paralysis Alkalosis ... Diuretics (discontinued ... Metabolic alkalosis ... Diagnosis #Causes #Workup
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
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
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
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