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diagnosis causes electrical electrocution hyperkalemia algorithm clinical lactate nephrology nsfw potassium video acidosis ck classification creatine dehydrogenase electricity elevation emergency
Evaluation of Electrical Injury in the Emergency Department Common Injuries by System: CNS - Seizure, coma, spinal
of Electrical Injury ... be delayed) — high ... voltage Cardiac ... ), rhabdomyolysis ... especially with AC
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
HyperKalemia - Differential ... K+: • Tissue injury ... Hemolysis • Rhabdomyolysis ... glycosides • High ... inhibitor • Cardiac
Creatine Kinase - Causes of Elevated CK Levels Acute CK Elevation (Pain > Weakness): • RHABDOMYOLYSIS
Kinase - Causes of Elevated ... Weakness): • RHABDOMYOLYSIS ... - Seizures: Trauma ... infarction, Acute renal injury ... #CK #differential
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework LDH is a cytoplasmic enzyme present in tissues throughout
Dehydrogenase (LDH) - Differential ... • Present in high ... Muscle: • Rhabdomyolysis ... thrombosis Cardiac ... Demand ischemia • Trauma
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... phlebotomy High ... • Burns • Trauma ... /Crush injury ... lysis syndrome - Rhabdomyolysis
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Heat Stroke - Differential ... sweat Heat Injury ... normal/mildly elevated ... maintain adequate cardiac ... High body temperatures
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... phlebotomy High ... • Burns • Trauma ... /Crush injury ... lysis syndrome - Rhabdomyolysis
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
- Differential ... , CMV, VZV • Trauma ... specificity to elevated ... Skeletal muscle, cardiac ... Skeletal muscle, cardiac
Toaster Electrocution Electrical Injury Primary determination of injury extent = amount of CURRENT flowing through body. VARIABLES: voltage,
High-Voltage >1000V ... with high voltage ... may result in trauma ... monitoring, check for rhabdomyolysis ... patients with high-voltage
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 Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... liver or renal injury ... / hypoxemia -> focus ... perfusion - Cardiac ... failure - Low cardiac
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