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diagnosis differential nephrology criticalcare algorithm alkalosis beriberi chloride classification comparison deficiency effects elevation heat heatstroke hyponatremia hypotonic illness korsakoff lactated
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
/L of sodium lactate ... NOT lactic acid ... shift • Saline Causes ... decreased renal blood flow ... • Saline May Cause
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... Ischemia, Compartment Syndrome ... Hypothermia & Shivering, Seizures ... toxic alcohols, Sodium ... in Short Bowel Syndrome
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Causes of Lactate ... Causes of Lactate ... LV failure - Low ... - Compartment syndrome ... #Lactic #Acidosis
How Do I Approach the Patient with High Lactate? - Differential Diagnosis for Lactic Acidosis #Lactic #LacticAcidosis
How Do I Approach ... Patient with High Lactate ... Acidosis #Lactic ... #Differential #Table ... #CriticalCare #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... , Gitelman syndrome ... ketoacidosis • D-lactic ... the indicated causes ... the excretion of sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... : SIADH, Renal Sodium ... can be high or low ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations Causes of Thiamine Deficiency: • Poor intake: - Diets
Manifestations Causes ... rice, Cereals • Low ... also seen • Lactic ... acidosis may not ... - Increased Lactate
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... heat illness → Hypernatremia ... consciousness, Coma/seizure ... Possible DIC - Mild lactic
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... exertion/training - Seizures ... Hyperuricemia • Hyponatremia ... Isotonic fluid/Lactated ... per day until stable
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