12 results
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Management Summary Trauma ... , Compartment syndrome ... Neuroleptic malignant syndrome ... Treatment: 1 ... Monitor potassium
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Burns • Trauma ... /Crush injury ... • Recent IV potassium ... - Tumor lysis syndrome ... - Metabolic acidosis
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis: • Trauma ... - Compartment syndrome ... or compartment syndrome ... Treatment: ... Monitor potassium
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Burns • Trauma ... /Crush injury ... • Recent IV potassium ... - Tumor lysis syndrome ... - Metabolic acidosis
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... hepatitis and lactic acidosis ... third of esophagus Treatment ... : - Treatment of ... with supportive care
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
liver or renal injury ... perfusion - shock->treatments ... before beginning treatment ... - Compartment syndrome ... gluconeogenesis Liver Injury
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... Ketosis (SK), acidosis ... for Refeeding Syndrome ... provided the starting potassium ... algorithm #management #treatment
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
after an acute injury ... Surgical Care - ... H/O antecedent trauma ... including DM • Treatment ... of spinal cord injury
Causes of Hyperkalemia
l. Pseudohyperkalemia
  A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis
  B.
Acidosis B. ... Succinylcholine; thermal trauma ... neuromuscular injury ... antiphospholipid syndrome ... Diagnosis #High #Potassium
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
Trans Tubular Potassium ... 9 Respiratory Acidosis ... Rodriguez, MD ICU-card ... or spinal cord injury ... Distress Syndrome