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differential acidosis endocrinology management metabolic algorithm causes comparison mnemonic disorders hhs hyperglycemic ketones metabolicacidosis nephrology agma anion biots breathing cheynestokes
Ketosis Disorders - Comparison Table • Starvation Ketosis • Alcoholic Ketoacidosis (AKA) • Diabetic Ketoacidosis (DKA)
• Alcoholic Ketoacidosis ... Ketoacidosis (DKA ... • Euglycemic DKA ... State (HHS) • DKA ... #differential #diagnosis
GOLDMARK - Mnemonic for Anion Gap Metabolic Acidosis G - Glycols O - Oxoproline L - L-Lactate D - D-Lactate M
GOLDMARK - Mnemonic ... Renal Failure K - Ketoacidosis ... #GOLDMARK #Mnemonic ... #AnionGap #Metabolic ... #Acidosis #diagnosis
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
• Alcoholic ketoacidosis ... • Diabetic ketoacidosis ... (DKA) - caused ... • Euglycemic DKA ... #differential #diagnosis
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 #laboratory #diagnosis ... comparison #diabetic #ketoacidosis
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
More recently a new mnemonic has been suggested to update new our understanding of anion-gap generating
Renal Failure -K – Ketoacidosis ... #Diagnosis #GOLDMARK ... #Mnemonic #AnionGap
Hyperglycemic Crisis - Algorithm for DKA/HHS Diagnostic criteria for DKA: • pH < 7.3 • Anion gap
/HHS Diagnostic ... • Urine/serum ketones ... > 250 mg/dL Diagnostic ... • Urine/serum ketones ... Diabetes #DM2 #Ketoacidosis
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
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 ... exchange resins #aniongap ... #NonGap #Metabolic ... #differential #diagnosis
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