21 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... (AG) = {Na - (Cl ... Metabolic acidosis ... Step 5 - Differential ... - Adrenal insufficiency
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
hypotension is treatment ... non-responders: - acidosis ... anaphylaxis - adrenal ... insufficiency ... #Vasopressors #Differential
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
(NAGMA) - Differential ... Framework and Workup ... - Renal insufficiency ... (GFR 20-50 ml/min ... #Metabolic #NAGMA
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
Hyperphosphatemia - Differential ... Tumor Lysis • Metabolic ... or Respiratory Acidosis ... Diagnosis #Algorithm #endocrinology ... #causes
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Non-anion Gap Metabolic ... Acidosis Causes ... Renal acidosis ... insufficiency) ... #Acidosis #differential
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Algorithm Acidosis ... Metabolic alkalosis ... Renal artery stenosis ... Algorithm #Diagnosis #Causes ... #Workup #Nephrology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Hypochloremia - Differential ... - Diarrhea • RENAL ... metabolic acidosis ... may cause metabolic ... Hypochloremia #Differential
Causes of Failure to Thrive - Differential Diagnosis Algorithm
Adequate Calorie Consumption
 - Increased Losses:
Causes of Failure ... to Thrive - Differential ... Tubular Acidosis ... • Pancreatic Insufficiency ... Utilize: • Metabolic
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Hyperuricemia - Differential ... Myeloid Leukemia (CML ... • Diabetic acidosis ... Diagnosis #Algorithm #endocrinology ... #causes
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
• Congenital Adrenal ... Panhypopituitarism Treatment ... CHF) • Inborn Metabolism ... Diagnosis #Algorithm #endocrinology ... #causes #pediatrics