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differential management algorithm comparison diabetes diabetic acidosis causes diabeticketoacidosis disorders dm2 hhs hyperglycemic ketones metabolic nephrology biots breathing cheynestokes crisis
Ketosis Disorders - Comparison Table • Starvation Ketosis • Alcoholic Ketoacidosis (AKA) • Diabetic Ketoacidosis (DKA)
• Alcoholic Ketoacidosis ... Ketoacidosis (DKA ... • Euglycemic DKA ... #differential #diagnosis ... #management #endocrinology
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
• Alcoholic ketoacidosis ... • Diabetic ketoacidosis ... (DKA) - caused ... #differential #diagnosis ... #management #endocrinology
DKA vs HHS - Think of DKA and HHS on a spectrum of hyperglycemic emergencies -
of DKA and HHS ... and starvation ketosis ... comparison #laboratory #diagnosis ... #endocrinology ... comparison #diabetic #ketoacidosis
Hyperglycemic Crisis - Algorithm for DKA/HHS Diagnostic criteria for DKA: • pH < 7.3 • Anion gap
/HHS Diagnostic ... • Urine/serum ketones ... • Urine/serum ketones ... Algorithm #management #endocrinology ... Diabetes #DM2 #Ketoacidosis
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary Symptoms: • Abdominal pain • Nausea • Polyuria • Polydipsia • Vomiting • Weight loss •
Diabetic Ketoacidosis ... (DKA) - Diagnosis ... #Diabetic #Ketoacidosis ... #Diagnosis #Management ... #Endocrinology
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary Symptoms: • Abdominal pain • Nausea • Polyuria • Polydipsia • Vomiting • Weight loss •
Diabetic Ketoacidosis ... (DKA) - Diagnosis ... #Diabetic #Ketoacidosis ... #Diagnosis #Management ... #Endocrinology
Metabolic Acidosis with Anion Gap - KILU Mnemonic K - Ketoacidosis • DKA - With normal glucose, ask if
Mnemonic K - Ketoacidosis ... • DKA - With ... have -ve urine ketones ... KILU #Mnemonic #AnionGap ... Metabolic #Acidosis #diagnosis
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 ... early signs of ketoacidosis ... infusion until ketoacidosis ... diabeticketoacidosis #aniongap
Causes of Metabolic Acidosis with Elevated Anion Gap - Differential Diagnosis Algorithm Elevated Anion Gap > 12
- Differential Diagnosis ... Inborn errors Ketosis ... • Diabetic ketoacidosis ... MetabolicAcidosis #AnionGap ... #Differential #Diagnosis
Diabetic Ketoacidosis (DKA) - Pathogenesis and Clinical Findings • Note: in DKA, body K+ is lost
Diabetic Ketoacidosis ... (DKA) - Pathogenesis ... Findings • Note: in DKA ... to a day after ketosis ... pathophysiology #endocrinology
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