11 results
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
usually: - hypoxemia ... patient with shock/hypoxemia ... hypoperfusion/ hypoxemia ... - Compartment syndrome ... Oxygen Content: - Hypoxemia
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
and Differential Diagnosis ... oxygen delivery: Hypoxemia ... failure, Short bowel syndrome ... #Differential #Diagnosis ... #TypeA #TypeB #lactate
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... Arrest, Severe Hypoxemia ... Ischemia, Compartment Syndrome ... in Short Bowel Syndrome ... #criticalcare #
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... : Atelectasis, ARDS ... #Hypoxia #hypoxemia ... #differential #diagnosis
Comparison of Pathologic Breathing Patterns
Biot's respiration aka ataxic respiration:
 - Periodic breathing: hyperpnea (or normopnea) and
Comparison of Pathologic ... (U) L = Lactic ... Apnea - Sleep/Hypoxemia ... #Respiratory #pulmonary ... #diagnosis #comparison
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... congestion with hypoxemia ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Respiratory Distress Syndrome ... consistent with pulmonary ... severity of the hypoxemia ... Definition #Criteria #Diagnosis ... #CriticalCare
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... (short bowel syndrome ... , pain, fever, hypoxia ... Classically” noted with pulmonary ... with associated hypoxia
TRALI Diagnostic Criteria
TRALI type 1 - Patients who have no risk factors for ARDS and meet
Acute onset, Hypoxemia ... evidence of bilateral pulmonary ... contributor to the hypoxemia ... #Criteria #pulmonary ... #criticalcare
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
(LR + 2.7) • Hypoxia ... Inpatient Pneumonia: β-Lactam ... Inpatient Pneumonia: β-Lactam ... macrolide or β-lactam ... Management #treatment #Pulmonary