10 results
Ketosis Disorders - Comparison Table
 • Starvation Ketosis
 • Alcoholic Ketoacidosis (AKA)
 • Diabetic Ketoacidosis (DKA)
Ketosis Disorders ... • Starvation Ketosis ... • Alcoholic Ketoacidosis ... Ketoacidosis (DKA ... Hyperglycemic Hyperosmolar
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
• Alcoholic ketoacidosis ... • Diabetic ketoacidosis ... (DKA) - caused ... Hyperglycemic hyperosmolar ... Glucosuria causes
DKA vs HHS
 - Think of DKA and HHS on a spectrum of hyperglycemic emergencies
 -
DKA vs HHS - Think ... of DKA and HHS ... and starvation ketosis ... comparison #diabetic #ketoacidosis ... #hyperosmolar #
Metabolic Acidosis with Anion Gap - KILU Mnemonic

K - Ketoacidosis
	• DKA
		- With normal glucose, ask if
Mnemonic K - Ketoacidosis ... • DKA - With ... have -ve urine ketones ... (their ketone is ... KILU #Mnemonic #AnionGap
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
cases occur in ... Alcoholic ketoacidosis ... early signs of ketoacidosis ... infusion until ketoacidosis ... diabeticketoacidosis #aniongap
Diabetic Ketoacidosis (DKA) - Pathogenesis and Clinical Findings
 • Note: in DKA, body K+ is lost
Diabetic Ketoacidosis ... out of cells may cause ... neuronal metabolism, ketone ... to a day after ketosis ... breathing) • Ketone
Causes of Metabolic Acidosis with Elevated Anion Gap - Differential Diagnosis Algorithm
Elevated Anion Gap > 12
Causes of Metabolic ... Inborn errors Ketosis ... • Diabetic ketoacidosis ... Starvation/alcoholic Ketosis ... MetabolicAcidosis #AnionGap
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Lactic acidosis • Ketoacidosis ... potential bicarbonate: ketosis ... with ketone excretion ... exchange resins #aniongap ... #NonGap #Metabolic
Diabetic Ketoacidosis 
Management Priorities
1. Fluids 
2. Insulin 
3. Potassium 
4. Acidosis 
5. Re-establish oral fluids,
Diabetic Ketoacidosis ... an underlying cause ... #DKA #Diabetic ... #Ketoacidosis # ... Management #Pediatrics #Peds
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis - Kupperman et al. NEJM 2018

https://www.nejm.org/doi/full/10.1056/NEJMoa1716816
Study
Pediatric Diabetic Ketoacidosis ... generally our biggest causes ... administration is not the cause ... out what does cause ... VisualAbstract #Peds