21 results
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
High Anion Gap Metabolic ... acetaminophen use L-lactate ... during hypoxic metabolism ... D-lactate - associated ... toxicity causes lactic
Lactic acid was first found & described in sour milk by Karl Wilhelm Scheele in 1780.
Lactic acid was ... occurrence of lactic ... Lactic acid is essentially ... within cellular metabolism ... with increased metabolism
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
Metformin Associated Lactic ... recycles peripheral lactate ... use in cellular metabolism ... production  increased lactate ... via anaerobic metabolism
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Lactated Ringers ... mEq/L • Sodium lactate ... NOT lactic acid ... development of metabolic ... Hyperchloremia nonanion gap metabolic
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
Lactic Acidosis ... Diagnosis Type A Lactic ... Fructose, Isoniazid, Lactate-based ... inborn errors of metabolism ... #TypeA #TypeB #lactate
High Anion Gap Metabolic Acidosis (HAGMA) - Mnemonics
Why should we switch from MUDPILES to GOLDMARK?
 •
High Anion Gap Metabolic ... • Metabolic acidosis ... hypotension and lactic ... of AGMA: 1) D-lactate ... #AnionGap #Metabolic
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
Metabolic and Respiratory ... Alkalosis - Diagnostic Algorithm ... tablets or INH - Lactic ... #Respiratory #Metabolic ... #Algorithm #MUDPILES
Algorithm for Evaluation of Alkalemia #Diagnosis #EM #IM #Metabolic #Respiratory #Alkalemia #Alkalosis #Algorithm #Compensation #Ddxof
Algorithm for Evaluation ... Alkalemia #Diagnosis #EM ... #IM #Metabolic ... Alkalemia #Alkalosis #Algorithm
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Elevation, Lactic ... impairment of cellular metabolism ... sweat) - its metabolism ... contribute to lactic ... #Lactic #Acidosis
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... Inborn Errors of Metabolism ... DKA, Alcoholic lactic ... with negative lactate ... @nickmmark #Lactic