4 results
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
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 ... or Cushing’s) Metabolic ... acidbase #workup #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
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