41 results
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Framework and Workup ... NAGMA - Chem, ABG ... or VBG - Calculate ... UA with urine pH ... Differential #Diagnosis #Workup
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Do you need an ABG ... approximates an ABG ... adding ~0.05 to pH ... Ketoacidosis, Renal ... Disorders #Evaluation #workup
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Values • pH: ... Alkalemia: • pH ... salicylates) R Renal ... - Diarrhea - Renal ... acidosis/Chronic renal
Common ultrasound abnormalities seen on kidney and urinary bladder POCUS

- Dr. Abhilash Koratala MD - NephroPOCUS
Common ultrasound ... kidney and urinary bladder ... NephroP #kidney #bladder ... diagnosis #pocus #ultrasound ... #renal #clinical
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... Look at the pH 2 ... direction of the pH ... need to do more work ... AmyChung #AcidBase #ABG
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... poor air flow • ABG ... High pCO2 / low pH ... Abnormally normal ABG ... with increased work
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
- Diarrhea pH ... Renal artery stenosis ... Diagnosis #Causes #Workup
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
OTCs, herbals, abx ... protein/Cr - Renal ... /bladder US w/ PVR ... - 45% - Pre-renal ... mostly ATN and pre-renal
Ureteral Stone on Renal POCUS

A 23yo male with no significant PMHx presents with acute LLQ pain,
Ureteral Stone on Renal ... Bladder ultrasound ... in setting of renal ... Ureteral #Stone #Renal ... POCUS #clinical #ultrasound
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal ... echo/flat IVC/no abd ... Hydronephrosis #POCUS #Renal ... #Ultrasound #Clinical