42 results
Lactic Acidosis - Overview and Pathophysiology
Lactic acid is an endogenous substrate for gluconeogenesis, that is constantly
Lactic Acidosis ... - Overview and Pathophysiology ... it importantly can ... #types #differential ... #diagnosis #pathophysiology
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Evaluation and Differential ... are they more acidotic ... compensation which can ... Differential Diagnosis ... Evaluation #workup #Differential
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan → Indoxyl
Syndrome #PUBS #pathophysiology ... #clinical #photo ... #differential #
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... Heart failure - CAD ... Additional: - Acidosis ... #dyspnea #sob #differential
Oxyhemoglobin Dissociation Curve 

Left Shift - decreased unloading of O2 at tissue level (i.e.  increased
- incr H+ (acidosis ... Dissociation #Curve #Pathophysiology ... #Right #Shift #Differential
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
gap metabolic acidosis ... Kidney tubular acidosis ... gap metabolic acidosis ... concentration can ... Algorithm #nephrology #differential
Causes of Metabolic Acidosis with Elevated Anion Gap - Differential Diagnosis Algorithm
Elevated Anion Gap > 12
Causes of Metabolic Acidosis ... Elevated Anion Gap - Differential ... secretion • AKI/CKD ... poisoning Lactic acidosis ... AnionGap #Nephrology #Differential
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Elevated Troponin Differential ... Metabolic (ie acidosis ... Microvascular CAD ... Occlusion • Stable CAD ... Elevated #Troponin #Differential
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Hyperphosphatemia - Differential ... Shift: • Lactic acidosis ... Disease: • AKI, CKD ... Hyperphosphatemia #Differential
Distal Renal Tubular Acidosis
Distal RTA is the true Nephrogenic RTA and can be truly divided into
Renal Tubular Acidosis ... Nephrogenic RTA and can ... Ifosfamide, topiramate, CA ... Renal #Tubular #Acidosis ... RTA #diagnosis #differential