43 results
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis ... bowel, Hemorrhagic shock ... Hypoperfusion, Cardiogenic shock ... : Liver Disease, ... #TypeA #TypeB #diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Insufficiency, Liver ... Treatment Goals ... #Differential #Diagnosis ... #management
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... months without treatment ... disease, liver ... support, or liver ... #diagnosis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... ->treatments include ... mellitus/DKA - Liver ... gluconeogenesis Liver
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
50% in nec fasc Diagnostic ... (2+): kidneys, liver ... necrosis STSS Treatment ... Syndrome #STSS #treatment ... #management #diagnosis
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... anion-gap metabolic acidosis ... Pulmonary edema, Shock ... Anion-Gap Metabolic Acidosis ... #management #Treatment
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Renal: metabolic acidosis ... AI, thyroid dz liver ... Classification #diagnosis ... #management #Overview
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Renal: metabolic acidosis ... AI, thyroid dz liver ... Classification #diagnosis ... #management #Overview
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Cardiogenic & Septic Shock ... Clearance: Systemic liver ... Difficult to diagnosis ... #Differential #Diagnosis
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
Associated Lactic Acidosis ... cycle found in the liver ... anaerobic metabolism Diagnosis ... symptoms of metabolic acidosis ... #Management