52 results
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... - Differential Diagnosis ... , Gitelman Syndrome ... #Primary #Metabolic ... #Differential #Diagnosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... - Differential Diagnosis ... , Gitelman Syndrome ... aldosteronism #Metabolic ... #Differential #Diagnosis
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
(Hx of COPD, OSA ... Gas) (-) Likely Metabolic ... Contraction Urine Cl ... Barter, or Gitelman Syndrome ... alkalosis #algorithm #diagnosis
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Differential Diagnosis ... Kidney loss of Cl ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... #Differential #Diagnosis
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
locations: Wrist, MCP ... culture used to diagnose ... • Male sex • Metabolic ... syndrome • Medications ... #rheumatology #Diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Chloride Algorithm Cl ... Kidney loss of Cl ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... #differential #diagnosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
(AG) = {Na - (Cl ... - Differential Diagnosis ... D-lactate (short bowel syndrome ... lung disease (COPD ... Interpretation #Diagnosis
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
use in cellular metabolism ... concentrations > 5 μg/mL ... Diagnosis of MALA ... Toxicity #Toxicology #Diagnosis ... #Management
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Acute Coronary Syndrome ... • Asthma • COPD ... Hyperthyroidism • Metabolic ... #Differential #Diagnosis
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 • Tissue injury
 • Hemolysis
 • Rhabdomyolysis
 •
- Differential Diagnosis ... • Tumor lysis syndrome ... • Metabolic acidosis ... blockers - MCW ... #Differential #Diagnosis