13 results
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Non-ACS Myocardial Injury ... Diagnosis and Workup ... Chronic Myocardial Injury ... Metabolic (ie acidosis ... , Focal Direct Injury
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... Serum K, Urine pH ... Renal Tubular Acidosis ... Tubulointerstitial injury ... Renal #Tubular #Acidosis
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Normal Anion-Gap Acidosis ... Framework and Workup ... Renal Tubular Acidosis ... #NonAnionGap #Acidosis ... Differential #Diagnosis #Workup
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Gas Analysis 1. pH ... Respiratory Acidosis ... gap metabolic acidosis ... gap metabolic acidosis ... nickmmark #acidbase #workup
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
are they more acidotic ... adding ~0.05 to pH ... Gap Metabolic Acidosis ... : Lactic Acidosis ... Disorders #Evaluation #workup
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Differential Algorithm Acidosis ... - Diarrhea pH ... Diagnosis #Causes #Workup
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
patient have an acidosis ... Look at the pH 2 ... direction of the pH ... is a metabolic acidosis ... need to do more work
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
hepatitis and lactic acidosis ... severe topical injury ... resulting in direct injury ... 48 hours - IV PPI ... further esophageal injury
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Immune mediated injury ... catheterization • BPH ... • Menstruation/Postpartum
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Redistribution: Acidosis ... , rhabdo/crush injury ... reabsorption) Workup ... hyperchloremic acidosis ... gtt - Only in acidosis