33 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... acidosis: Chronic ... acidosis: Diabetic
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... alkalosis • Kidney ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... #Metabolic #Alkalosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Metabolic alkalosis ... Metabolic acidosis ... alkalosis/Resp ... D-lactate (short bowel syndrome ... Alkalosis: -
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
Associated Lactic Acidosis ... (MALA) Pathophysiology ... acidosis including ... LacticAcidosis #Toxicity #Toxicology ... #Diagnosis #Management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
show anion-gap metabolic ... acidosis 4) Presentation ... Acidosis, Respiratory ... Alkalosis, High ... Aspirin #Toxicity #Toxicology
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
for Respiratory Acidosis ... Gas) (-) Likely Metabolic ... Alkalosis Urine ... Barter, or Gitelman Syndrome ... #alkalosis #algorithm
Colchicine Toxicity 
Naturally-occurring plant alkaloid [Autumn Crocus and Glory Lilly]
2-24 hrs 
 • Severe GI distress
Naturally-occurring plant alkaloid ... Renal failure • Metabolic ... acidosis • ARDS ... Colchicine #Toxicity #Toxicology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... Alkalosis: Differential ... chronic respiratory acidosis ... thiazide-sensitive site) Metabolic ... after fasting #Metabolic
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
with renal tubal acidosis ... and metabolic alkalosis ... Cerebral salt wasting syndrome ... Stress, Drugs, Syndrome ... • Nephrotic syndrome
Gitelman Syndrome Pathophysiology
Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
Gitelman Syndrome ... Pathophysiology ... → Hypokalemia Metabolic ... alkalosis - ... #Pathophysiology