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management differential clinical edka nephrology toxicology acidosis algorithm aniongap b12 bloodsmear borrelia cardiology chf classification cobalamin criticalcare deficiency diabeticketoacidosis elevation
SGLT2 Inhibitors and Euglycemic DKA Risk factors for euglycemic DKA in those on an SGLT2i include: •
• Excessive alcohol ... consumption Diagnostic ... Ketones in serum or urine ... Treatment involves ... therapy in severe cases
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 ... Alcoholic ketoacidosis ... vomiting, abdominal pain ... their loss in the urine ... Treatment with IV
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Management Summary Causes ... Weakness - Dark urine ... - Abdominal pain ... hour with goal urine
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
arrived w/severe abd pain ... headache and abd pain ... The table below ... LBRF can be diagnosed ... initiation of treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
excretion (e.g., urine ... perfusion - shock->treatments ... before beginning treatment ... Diabetes mellitus/DKA ... Hypoglycemia - Alcohol
Toxic Alcohol Ingestion: Clinical Features, Diagnosis, and Management Methanol intoxication: • Accidental or intentional ingestion of adulterated
methanol; rare cases ... oxalate crystals in urine ... #toxicology #comparison ... #table #management ... #treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... ↓insulin (DM, DKA ... lysis) ± Urine ... only if no clear cause ... Elimination (see Table
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
: • Vit B12 - aka ... • Common Causes ... GI - glossitis (pain ... , intestinal), alcohol ... Check for IF ab Treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... & Dry) is the treatment ... the determined cause ... #table #foamed ... icu #clinical #pharmacology
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