5267 results
Toxic Alcohol Ingestion: Isopropyl Alcohol
General concepts for toxic alcohols:
• Parent compounds (not metabolites) cause high osmolal
not metabolites) cause ... pyruvate converts to lactate ... --> causes lactic ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
30ml.kg-1 or blood lactate ... devices could have caused ... Check serial lactates ... Discuss ongoing management ... Checklist #Diagnosis #Management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... no respiratory cause ... exposure Symptoms: Nausea ... Alkalosis, High Lactate ... Level: 150mg/kg Management
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Causes of acute ... Lactose intolerance ... Normal fecal fat: Lactose ... Chronic #Diarrhea #management
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
• Most common cause ... media • Important cause ... Treatment: • B-Lactams ... microbiology #diagnosis #management
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Diagnosis and Management ... organ dysfunction caused ... Serum lactate >2 ... in-hospital mortality Management ... Criteria #Diagnosis #Management
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Summary Causes ... Isotonic fluid/Lactated ... Differential #Diagnosis #Management ... #causes #treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate ... The most common causes ... - Many other causes ... Causes of elevated ... Causes of Lactate
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Lactated Ringers ... mEq/L • Sodium lactate ... mEq • Sodium Lactate ... shift • Saline Causes ... • Saline May Cause
GOLDMARK - Mnemonic for Anion Gap Metabolic Acidosis
G - Glycols
O - Oxoproline
L - L-Lactate
D - D-Lactate
M
Oxoproline L - L-Lactate ... D - D-Lactate ... #differential #causes