Lactic acidosis: Difference between revisions

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== Background ==
== Background ==
* Most common cause of metabolic acidosis in hospitalized patients
Most common cause of metabolic acidosis in hospitalized patients
* Type A
** Impaired tissue oxygenation
*** Hypovolemia
*** Cardiac failure
*** Sepsis
*** CO poisoning
*** CN poisoning


 
==DDX==
* Type B
# Type A
** No impaired tissue oxygenation
## Impaired tissue oxygenation
*** Alcoholism
### Hypovolemia
**** Lactate utilization is impaired 2/2 impaired hepatic gluconeogenesis   
### Cardiac failure
*** Liver disease
### Sepsis
*** Metformin
### CO poisoning
### CN poisoning
# Type B
## No impaired tissue oxygenation
### Alcoholism
#### Lactate utilization is impaired 2/2 impaired hepatic gluconeogenesis   
### Liver disease
### Metformin


[[Category:FEN]]
[[Category:FEN]]

Revision as of 04:58, 14 March 2011

Background

Most common cause of metabolic acidosis in hospitalized patients

DDX

  1. Type A
    1. Impaired tissue oxygenation
      1. Hypovolemia
      2. Cardiac failure
      3. Sepsis
      4. CO poisoning
      5. CN poisoning
  2. Type B
    1. No impaired tissue oxygenation
      1. Alcoholism
        1. Lactate utilization is impaired 2/2 impaired hepatic gluconeogenesis
      2. Liver disease
      3. Metformin