21 results
Diabetic Ketoacidosis 
Management Priorities
1. Fluids 
2. Insulin 
3. Potassium 
4. Acidosis 
5. Re-establish oral fluids,
Diabetic Ketoacidosis ... Management Priorities ... Potassium 4. ... Acidosis 5. ... #Management #Pediatrics
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • Recent IV potassium ... (Uncontrolled diabetes ... - Metabolic acidosis ... Medications 2.
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
#hyperkalemia #differential ... #diagnosis #pathophysiology ... #pharmacology #potassium ... #medications #druginduced
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Hypokalemia - Differential ... Renal tubular acidosis ... Ureterosigmoidostomy, Diabetic ... #hypokalemia #differential ... causes #nephrology #potassium
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Gap Metabolic Acidosis ... : • Lactic acidosis ... Ketoacidosis: Diabetic ... Potassium-sparing ... #differential #
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • Recent IV potassium ... (Uncontrolled diabetes ... - Metabolic acidosis ... Medications 2.
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes: Medications ... Diabetes, hyperlipidemia ... Priapism #Diagnosis #Management ... #Urology #Differential
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
gap metabolic acidosis ... Kidney tubular acidosis ... • Diabetic ketoacidosis ... of sodium and potassium ... Algorithm #nephrology #differential
Euglycemic Diabetic Ketoacidosis (EuDKA)
SGLT2 Inhibitors
Increasing Indications
Significant Adverse Drug Effects
Definition of EuDKA
 • Metabolic acidosis with pH
Euglycemic Diabetic ... EuDKA • Metabolic acidosis ... level < 200 mg/dL Pathophysiology ... #Euglycemic #Diabetic ... EuDKA #diagnosis #management
Causes of Hypomagnesemia
Redistribution:
 - IV glucose
 - Correction of diabetic ketoacidosis
 - IV hyperalimentation
 - Refeeding
Correction of diabetic ... osmotic diuresis - Potassium ... Causes #diagnosis #differential ... #medications #drugs