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differential endocrinology management acidosis algorithm comparison diabetic hhs metabolic causes diabetes disorders ketones nephrology biots breathing cheynestokes crisis criticalcare diabeticketoacidosis
Ketosis Disorders - Comparison Table • Starvation Ketosis • Alcoholic Ketoacidosis (AKA) • Diabetic Ketoacidosis (DKA)
• Alcoholic Ketoacidosis ... Ketoacidosis (DKA ... • Euglycemic DKA ... • Hyperglycemic ... #differential #diagnosis
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
• Alcoholic ketoacidosis ... • Diabetic ketoacidosis ... • Hyperglycemic ... • DKA/HHS Overlap ... #differential #diagnosis
DKA vs HHS - Think of DKA and HHS on a spectrum of hyperglycemic emergencies -
a spectrum of hyperglycemic ... and starvation ketosis ... comparison #laboratory #diagnosis ... comparison #diabetic #ketoacidosis ... #hyperosmolar #hyperglycemic
Hyperglycemic Crisis - Algorithm for DKA/HHS Diagnostic criteria for DKA: • pH < 7.3 • Anion gap
Hyperglycemic Crisis ... /HHS Diagnostic ... • Urine/serum ketones ... #HHS #Hyperglycemic ... Diabetes #DM2 #Ketoacidosis
"Eight I's" mnemonic for the main causes of hyperglycemia. #hhs #dka #ketoacidosis #diabetes #diabetic #em #differential
main causes of hyperglycemia ... #hhs #dka #ketoacidosis ... #differential #diagnosis
Anion Gap Metabolic Acidosis • Diabetic Ketoacidosis ± Hyperglycemia ± Hyperosmolar • Alcoholic Ketoacidosis ± Hyperglycemia
Acidosis • Diabetic Ketoacidosis ... ± Hyperglycemia ... ± Hyperglycemia ... amzn.to/3rEtbK8 #AnionGap ... #differential #diagnosis
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
Typical Clinical Features of DKA: - Acetone breath - Tachycardia - Soft Bp
Clinical Features of DKA ... - Soft Bp - Hyperglycemia ... - Polyuria #Diagnosis ... #Diabetic #Ketoacidosis ... #DKA #Symptoms
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