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diagnosis differential management pediatrics algorithm classification ketoacidosis diabetes edka emesis endocrinology nephrology vomiting acidosis aniongap diabeticketoacidosis difficulties difficulty ebm elevation
DKA DIAGNOSTIC CRITERIA: 1. Serum glucose >250 mg/dL 2. Arterial pH <7.3 3. Serum bicarbonate <18 mEq/L 4. At least
DKA DIAGNOSTIC CRITERIA ... patients with type 2 diabetes ... have new-onset diabetes ... are Euglycemic Diabetic ... Treatment with IV
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary Symptoms: • Abdominal pain • Nausea • Polyuria • Polydipsia • Vomiting • Weight loss •
Diabetic Ketoacidosis ... (DKA) - Diagnosis ... Abdominal pain • Nausea ... of 4 following criteria ... #Diabetic #Ketoacidosis
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary Symptoms: • Abdominal pain • Nausea • Polyuria • Polydipsia • Vomiting • Weight loss •
Diabetic Ketoacidosis ... (DKA) - Diagnosis ... Abdominal pain • Nausea ... of 4 following criteria ... #Diabetic #Ketoacidosis
Diabetic Ketoacidosis Management Priorities 1. Fluids 2. Insulin 3. Potassium 4. Acidosis 5. Re-establish oral fluids,
Diabetic Ketoacidosis ... Identification and treatment ... an underlying cause ... #DKA #Diabetic ... Management #Pediatrics #Peds
SGLT2 Inhibitors and Euglycemic DKA Risk factors for euglycemic DKA in those on an SGLT2i include: •
and Euglycemic DKA ... for euglycemic DKA ... consumption Diagnostic criteria ... serum or urine Treatment ... therapy in severe cases
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm Hepatobiliary: • Acute Hepatitis • Acute
Gastrointestinal and Systemic Causes ... Pregnancy • Diabetes ... / DKA • Uremia ... Labrynthitis Psychiatric ... #Peds #Pediatrics
Classification of Diabetes Insipidus Central or neurogenic diabetes insipidus: - Congenital - Structural malformations affecting the hypothalamus
Classification of Diabetes ... or neurogenic diabetes ... uropathy, Metabolic causes ... Treatment is aimed ... at the psychiatric
Hepatic Encephalopathy - Diagnosis and Management Summary Definition: • Alteration in brain function manifested by neuropsychiatric symptoms
neuropsychiatric symptoms • Caused ... rule out other causes ... , GI bleeding, Diuretic ... TIPS West Haven Criteria ... Initiate empiric treatment
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis - Kupperman et al. NEJM 2018 https://www.nejm.org/doi/full/10.1056/NEJMoa1716816 Study
for Pediatric Diabetic ... generally our biggest causes ... administration is not the cause ... out what does cause ... VisualAbstract #Peds
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Causes of Lactate ... perfusion - shock->treatments ... before beginning treatment ... • Type B1: - Diabetes ... mellitus/DKA
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