8 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
- Urinary Chloride ... metabolic acidosis • Chronic ... metabolic acidosis • Diabetic ... the indicated causes ... #Urinary #Chloride
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... acute reversal of chronic ... after renal tubule diuretic ... > 20 meq/L • Primary ... /carbenoxolone ingestion
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... History of acute or chronic ... ingestion/exposure ... Acidosis, Respiratory Alkalosis ... Resuscitation 2) Urine
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
Usually middle-aged diabetic ... outlet obstruction, chronic ... present or signs of infection ... present • UA and Urine ... also important Management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
• Metabolic alkalosis ... irrigation • Management ... • Nephrogenic diabetes ... Kidney stones caused ... Acute myocardial infarction
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Transcellular Shifts: - Alkalosis ... - Diuretics (carbonic ... thiazide-like diuretics), Primary ... #Hypokalemia #Causes
IDSA - Approach to Treating a Patient With Diabetic Foot Osteomyelitis
When to consider a trial of
a Patient With Diabetic ... Foot Osteomyelitis ... destruction has not caused ... tissue wound or primary ... #nonoperative #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
85% • < 50% in chronic ... MUCORMYCOSIS • Risk: Diabetes ... extrapulmonary disease (osteomyelitis ... • Respiratory/urinary ... Fungal #Diagnosis #Management