11 results
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis ... A Lactic Acidosis ... Type B Lactic Acidosis ... Short bowel (D-lactate ... diagnosis #differential
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
Lactic Acidosis ... Diagnosis Type ... A Lactic Acidosis ... B Lactic Acidosis ... #TypeB #lactate
Lactic Acidosis - Overview and Pathophysiology
Lactic acid is an endogenous substrate for gluconeogenesis, that is constantly
Lactic Acidosis ... PLUS a pH < 7.35 TYPE ... Increased O2 Demand TYPE ... Clearance • Other TYPE ... #Acidosis #types
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Acidosis - Differential ... are listed as Type ... A Lactic Acidosis ... B Lactic Acidosis ... #Lactic #Acidosis
Type B Lactic Acidosis
Elevated lactic acid when no systemic hypoperfusion is apparent
Causes:
 • Drugs (metformin, linezolid,
Type B Lactic Acidosis ... apparent Causes: • Drugs ... to clear) • D-lactate ... Thiamine deficiency #TypeB ... #Lactic #Acidosis
Anion Gap Metabolic Acidosis
 • Diabetic Ketoacidosis ± Hyperglycemia ± Hyperosmolar
 • Alcoholic Ketoacidosis ± Hyperglycemia
Hyperglycemia • Shock ... Ethylene glycol • Type ... B lactic acidosis ... - Drugs ( Albuterol ... #differential #
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... Framework Type ... dysfunction Type ... Thiamine & Biotin) Type ... #Acidosis #Differential
Metabolic Acidosis with Anion Gap - KILU Mnemonic

K - Ketoacidosis
	• DKA
		- With normal glucose, ask if
Type A = tissue ... hypoxia (e.g. shock ... • Type B = lymphoma ... or leukemia or drug ... #diagnosis #differential
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Drugs 1) Determine ... type and etiology ... Pericardial tamponade, Pulmonary ... underlying etiology Dr ... management #comparison #table
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
diagnosis or the type ... of shock remains ... severe cardiogenic shock ... #NormalValues #Differential ... #Table #Chambers