21 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Evaluation and Differential ... or alkalotic than ... Differential Diagnosis ... Disorders #Evaluation #workup ... #Differential #
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Differential ... gap metabolic acidosis ... Kidney tubular acidosis ... gap metabolic acidosis ... #Differential #
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Chloride Algorithm Cl ... Kidney loss of Cl ... • Loss of Cl- ... Algorithm #nephrology #differential
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Periodic paralysis Alkalosis ... Metabolic alkalosis ... Diagnosis #Causes #Workup
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... (AG) = {Na - (Cl ... Step 5 - Differential ... Renal failure (uremia ... Base #Gas #VBG #differential
Oxyhemoglobin Dissociation Curve 

Left Shift - decreased unloading of O2 at tissue level (i.e.  increased
- decr H+ (alkalosis ... - incr H+ (acidosis ... • chronic anæmia ... - Sickle cell anemia ... #Right #Shift #Differential
Acid Base Disorders Worksheet

Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
has a primary alkalosis ... has a primary acidosis ... anion gap (Na - Cl ... diagnoses using the differentials ... Worksheet #diagnosis #differential
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Hyperuricemia - Differential ... Myeloid Leukemia (CML ... - Hemolytic Anemia ... • Diabetic acidosis ... Diagnosis #Algorithm #endocrinology
Metabolic Acidosis with Anion Gap - KILU Mnemonic

K - Ketoacidosis
	• DKA
		- With normal glucose, ask if
Metabolic Acidosis ... salicylates (+ resp alkalosis ... linezolid U - Uremia ... AnionGap #Metabolic #Acidosis ... #diagnosis #differential
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
(NAGMA) - Differential ... Framework and Workup ... insufficiency (GFR 20-50 ml ... Metabolic #NAGMA #Differential ... #Diagnosis #Workup