604 results
High Anion Gap Metabolic Acidosis (HAGMA) - Mnemonics
Why should we switch from MUDPILES to GOLDMARK?
 •
Metabolic Acidosis (HAGMA ... recognized as causes of AGMA ... propylene glycol #AnionGap ... Metabolic #Acidosis #HAGMA
Urine Anion Gap in NAGMA
NA + K - Cl = surrogate for Urine NH4+
NH4+ is excreted
Urine Anion Gap in NAGMA ... RTA (nb ↑K) - Renal ... ThePeanutKidney #Urine #AnionGap ... #NAGMA #diagnosis
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
Metabolic Acidosis (HAGMA ... ketoacidosis Renal ... acids in advanced renal ... Metabolic #Acidosis #HAGMA
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
and Workup NAGMA ... in the urine - Renal ... Renal Loss of HCO3 ... - Renal insufficiency ... Hypoaldosteronism - Renal
GOLDMARK - Mnemonic for Anion Gap Metabolic Acidosis
G - Glycols
O - Oxoproline
L - L-Lactate
D - D-Lactate
M
- Aspirin R - Renal ... GOLDMARK #Mnemonic #AnionGap
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Chloridorrhea Renal ... • Penicillins Renal ... Aldosterone-secreting mass • Adrenal ... MetabolicAlkalosis #NonGap
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
algorithm Decreased renal ... excretion • Acute renal ... failure • Chronic renal ... • Congenital adrenal ... high: • Post-renal
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
oxoproline) • Renal ... Renal acidosis ... hyperkalemia (with renal ... exchange resins #aniongap ... #NonGap #Metabolic
More recently a new mnemonic has been suggested to update new our understanding of anion-gap generating
– Aspirin -R – Renal ... GOLDMARK #Mnemonic #AnionGap
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
HYPOVOLEMIC • extra-renal ... - fevers • renal ... hypothyroidism • adrenal ... nephrotic syndrome • renal