57 results
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 ... Treatment with IV ... gap closes and
SGLT2 Inhibitors and Euglycemic DKA

Risk factors for euglycemic DKA in those on an SGLT2i include:
 •
bicarbonate ≤ 15 • Anion ... gap > 12 • Ketones ... serum or urine Treatment ... mmol until the anion ... gap is closed
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
3) Labs show anion-gap ... , Shock Labs: Anion-Gap ... diagnosis #management #Treatment
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... different) PMHx: - Focus ... on prior Liver/ ... US - Prior liver ... Calling #Referral #Hepatology
Portal Venous Gas on Point of Care Ultrasound (POCUS)

Dr. Philippe Rola @ThinkingCC

#Portal #VenousGas #Ultrasound #POCUS #Clinical
Portal Venous Gas ... Care Ultrasound (POCUS ... VenousGas #Ultrasound #POCUS ... #Clinical #Liver
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... months without treatment ... disease, liver ... support, or liver ... Failure #Cirrhosis #Hepatology
Toluene Poisoning - Diagnosis and Management Summary
What is it?  Volatile hydrocarbon, Glue or paint-sniffing, Occupational
• Late: normal anion ... gap acidosis, ↓ ... may be ↑ or ↓ Treatment ... Diagnosis #Management #Treatment
Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
Portal Venous Gas ... on POCUS Adhikari's ... Wk: Portal vein gas ... Portal #VenousGas #POCUS ... #Liver #Ultrasound
Portal Venous Gas on Ultrasound
The most dramatic example I have seen of preterminal systemic intravascular and
Portal Venous Gas ... portal venous gas ... VenousGas #Ultrasound #Liver ... #POCUS #Clinical
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
consult - I-liner ... lipase PMH: - Focus ... on prior GI/Liver ... last meal - Treatment ... GregoryTBrennan #Liver