9 results
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
: • Lactic acidosis ... Renal acidosis ... ACE-Is and ARBs ... #differential # ... diagnosis #causes #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Renal artery stenosis ... Diagnosis #Causes #Workup ... #Nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential ... Transcellular Shift: • Lactic ... acidosis, DKA ... CKD Increased Renal ... #phosphate #nephrology
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... Hypotension & Hypovolemia ... Anemia, Cardiac Arrest ... Beta-Agonists, ↑ work ... #Acidosis #Differential
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • NSAIDs • ACE ... - Metabolic acidosis ... #differential # ... potassium #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Excretion: - Renal ... reabsorption) Workup ... 15 suggests ↓ renal ... Ca-gluconate or 1g CaCl ... Treatment #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • NSAIDs • ACE ... - Metabolic acidosis ... #differential # ... potassium #high #nephrology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Acidosis - Differential ... perfusion - Cardiac arrest ... - Shock - Hypovolemia ... lactate and can act ... #Differential #
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
ECF and ICF both work ... leads to Metabolic Acidosis ... Metabolic Acidosis ... the ECF causes Hyperkalemia ... diagnosis #treatment #pharmacology