12 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Evaluation and Differential ... Do you need an ABG ... an ABG by adding ... Differential Diagnosis ... Evaluation #workup #Differential
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... ABG And BMP Normal ... ) = {Na - (Cl + ... bloodgas #Acid #Base ... #Gas #VBG #differential
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... • Normal Acid-Base ... @priti899 #Hypokalemia ... #Differential #
Urine Anion Gap in NAGMA
NA + K - Cl = surrogate for Urine NH4+
NH4+ is excreted
NAGMA NA + K - Cl ... excreted with Cl ... increasing negative AG ... RTA (nb ↑K) - Renal ... NAGMA #diagnosis #differential
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
OTCs, herbals, abx ... - Urine Na/K/Cl ... protein/Cr - Renal ... - 45% - Pre-renal ... Algorithm #Causes #Differential
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based ... ≥100): SIADH, Renal ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Hypotension & Hypovolemia ... liver Failure, Renal ... • Presents as AG ... Lactic #Acidosis #Differential
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
crusade against “Ab ... its Chloride (Cl ... are balanced by Cl ... high amount of Cl ... the ECF causes Hyperkalemia
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
osmolality helps to differentiate ... hyponatremia in renal ... and euvolemic based ... sodium in the renal ... hyponatremia #ADH #RAAS #Hypovolemia
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
ANA, anti-Smith Ab ... permanent alopecia Differential ... and psychosis • AB ... APLA/LAC: • Renal ... La, anti-Jo-1, SCL