11 results
Diabetic Ketoacidosis 
Management Priorities
1. Fluids 
2. Insulin 
3. Potassium 
4. Acidosis 
5. Re-establish oral fluids,
Management Priorities ... Potassium 4. ... Acidosis 5. ... Identification and treatment ... an underlying cause
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... anion-gap metabolic acidosis ... , Diaphoresis, Pulmonary ... High Lactate, Low Potassium ... #Treatment
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Tumor lysis syndrome ... (Uncontrolled diabetes ... - Metabolic acidosis ... Food - Avoid in ... differential #diagnosis #causes
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Tumor lysis syndrome ... (Uncontrolled diabetes ... - Metabolic acidosis ... Food - Avoid in ... differential #diagnosis #causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... Weakness, cramping, nausea ... only if no clear cause ... ) Management: ... #Treatment #potassium
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
perfusion - shock->treatments ... before beginning treatment ... output - Acute pulmonary ... - Compartment syndrome ... • Type B1: - Diabetes
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome ... irrigation • Management ... Torsemide) • Acute pulmonary ... Kidney stones caused ... Tolvaptan) • Treatment
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... for Refeeding Syndrome ... drips unless also diabetic ... provided the starting potassium ... differential #algorithm #management
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Hypokalemia (renal potassium ... Renal tubular acidosis ... Rhabdomyolysis Treatment ... Supplement: • Potassium ... diagnosis #nephrology #management
IDSA - Approach to Treating a Patient With Diabetic Foot Osteomyelitis
When to consider a trial of
a Patient With Diabetic ... of nonsurgical treatment ... destruction has not caused ... Persistent sepsis syndrome ... #nonoperative #management