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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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... lysis) ± Urine ... only if no clear cause ... Elimination (see Table ... : • Insulin 5-
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
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
nutrients • TPN for treatment ... bloating, abd pain ... Gastric bypass causes ... metronidazole • Alcohol ... gastroenterology #diagnosis
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
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
cirrhosis, severe alcoholic ... • Caused by splanchnic ... Treatment Overview ... underlying liver insult ... (e.g., alcohol,