15 results
Ketosis Disorders - Comparison Table
 • Starvation Ketosis
 • Alcoholic Ketoacidosis (AKA)
 • Diabetic Ketoacidosis (DKA)
• Alcoholic Ketoacidosis ... Hyperglycemic Hyperosmolar ... State (HHS) ... • DKA/HHS Overlap ... #differential #diagnosis
DKA vs HHS
 - Think of DKA and HHS on a spectrum of hyperglycemic emergencies
 -
DKA vs HHS - Think ... of DKA and HHS ... comparison #laboratory #diagnosis ... comparison #diabetic #ketoacidosis ... #hyperosmolar #
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
• Alcoholic ketoacidosis ... • Diabetic ketoacidosis ... Hyperglycemic hyperosmolar ... of both DKA & HHS ... #differential #diagnosis
Assessment of diabetic control:
 - Any episodes of hypoglycaemia, diabetic ketoacidosis, hospital admission? 
 - Is
hypoglycaemia, diabetic ketoacidosis ... from 12 years ... from 12 years ... thyroid disease at diagnosis ... primarycare #DM1 #Peds
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
DKA DIAGNOSTIC CRITERIA ... Alcoholic ketoacidosis ... Common, early signs ... of ketoacidosis ... closes and acidosis has
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
know if the pt has ... miss MDR bugs) MEDS ... Admissions #ICU #Pearls ... #Checklist #diagnosis ... #workup #criticalcare
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
- Differential Diagnosis ... Management: 1) PADS ... consultant 5) Address H's ... #Differential #Diagnosis ... Management #cardiology #criticalcare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
c deliriogenic meds ... pharmacologic therapy early ... quetiapine 50 mg qhs ... Physical therapy and early ... Treatment #MICU #CriticalCare
Moccasin-variety Tinea Pedis 
70 M chronic scaly feet. Over the years: rash has itched only occasionally;
Moccasin-variety Tinea Pedis ... Over the years: ... rash has itched ... Diagnosis? ... Moccasin tinea pedis
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
manage E - Early ... 20 mg/hr x > 6 hrs ... ) - Often used QHS ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management