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differential endocrinology acidosis algorithm comparison disorders ketones lactate lactic table biots breathing causes cheynestokes classification crisis diuresis diuretics dm2 elevation
Ketosis Disorders - Comparison Table • Starvation Ketosis • Alcoholic Ketoacidosis (AKA) • Diabetic Ketoacidosis (DKA)
Ketosis Disorders ... • Starvation Ketosis ... ) • Diabetic Ketoacidosis ... #differential #diagnosis ... #management #endocrinology
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
of re-feeding syndrome ... • Diabetic ketoacidosis ... • DKA/HHS Overlap ... #differential #diagnosis ... #management #endocrinology
Comparison of Pathologic Breathing Patterns Biot's respiration aka ataxic respiration: - Periodic breathing: hyperpnea (or normopnea) and
Metabolic acidosis (Diabetes ... Hyperpnea K = Ketones ... (Diabetic ketoacidosis ... #Respiratory #pulmonary ... #diagnosis #comparison
Hyperglycemic Crisis - Algorithm for DKA/HHS Diagnostic criteria for DKA: • pH < 7.3 • Anion gap
/HHS Diagnostic ... • Urine/serum ketones ... • Urine/serum ketones ... Crisis #Algorithm #management ... endocrinology #Diabetes
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Diagnosis of ... irrigation • Management ... • Nephrogenic diabetes ... Lithium-induced nephrogenic diabetes ... DDAVP) • Central diabetes
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Ischemia, Compartment Syndrome ... Leukemia/Lymphoma), Diabetes ... Mellitus +/- DKA ... in Short Bowel Syndrome ... #criticalcare #
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
In Starvation Ketosis ... for Refeeding Syndrome ... drips unless also diabetic ... DKA is essentially ... #algorithm #management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... output - Acute pulmonary ... - Compartment syndrome ... • Type B1: - Diabetes ... mellitus/DKA
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