28 results
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
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 ... Gap (AG). 2) Next ... Gap Metabolic Acidosis ... Gap Metabolic Acidosis ... Disorders #Evaluation #workup
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
gap metabolic acidosis ... gap greater than ... gap is variable ... production, the rate of metabolism ... Treatment with IV
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
3) Labs show anion-gap ... metabolic acidosis ... , Shock Labs: Anion-Gap ... Metabolic Acidosis ... diagnosis #management #Treatment
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
bodies are a normal metabolic ... accompanied by an anion ... gap acidosis, is ... gap acidosis (pH ... diagnosis #management #endocrinology
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Clinical manifestations ... other processes Workup ... strep, HIV • CTD workup ... COP DDX: • CAP ... Treatment: •
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
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 -
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
(CAP) - Diagnosis ... aeruginosa Clinical ... in adults with clinically ... procalcitonin level Treatment ... #Management #treatment