15 results
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
High Anion Gap Metabolic ... during hypoxic metabolism ... Aspirin - salicylate toxicity ... @jadav_md #Anion ... #Gap #Metabolic
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Base and Blood Gas ... Acidosis - non anion ... gap metabolic acidosis ... - anion gap metabolic ... nickmmark #acidbase #workup
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity ... 3) Labs show anion-gap ... metabolic acidosis ... , Shock Labs: Anion-Gap ... Metabolic Acidosis
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Normal Anion-Gap ... Framework and Workup ... VBG - Calculate Anion ... NonAnionGap #Acidosis #Metabolic ... Differential #Diagnosis #Workup
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Start with the Anion ... Diagnosis: • Anion ... Gap Metabolic Acidosis ... Gap Metabolic Acidosis ... Disorders #Evaluation #workup
 Acute Iron Poisoning

There are five classically described phases of toxicity:
Gastrointestinal phase (~6 hours post-ingestion)
 -
described phases of toxicity ... absent in severe toxicity ... deterioration Shock and metabolic ... post-ingestion) - Anion ... gap metabolic acidosis
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... primary problem – metabolic ... or concomitant metabolic ... need to do more work ... = ANION GAP -
Asterixis due to Uremia on Physical Exam

29 year old male came in due to decreasing sensorium
Labs showed high anion ... gap metabolic acidosis ... PhysicalExam #nephrology #clinical
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
of organizing pneumonia ... - Clinical manifestations ... other processes Workup ... strep, HIV • CTD workup ... COP DDX: • CAP
Citrate Anticoagulation Toxicity

Hypernatremia (HyperNa):
 - Citrate solutions may have ↑ sodium content and should be paired
Anticoagulation Toxicity ... convert to mmol/L Anion-Gap ... Metabolic Acidosis ... , "unmeasured" anion ... Metabolic alkalosis