Lactic acidosis: Difference between revisions

Revision as of 02:14, 27 April 2011

Tintinalli

Authors:

@@ Line 1: / Line 1: @@
-== Background ==
+==Background==
-Most common cause of metabolic acidosis in hospitalized patients
+*Most common cause of metabolic acidosis in hospitalized patients
 ==DDX==
-# Type A
+*Type A
-## Impaired tissue oxygenation
+**Impaired tissue oxygenation
-### Hypovolemia
+***Hypovolemia
-### Cardiac failure
+***Cardiac failure
-### Sepsis
+***Sepsis
-### CO poisoning
+***CO poisoning
-### CN poisoning
+***CN poisoning
-# Type B
+*Type B
-## No impaired tissue oxygenation
+**No impaired tissue oxygenation
-### Alcoholism
+***Alcoholism
-#### Lactate utilization is impaired 2/2 impaired hepatic gluconeogenesis
+****Lactate utilization is impaired 2/2:
-### Liver disease
+*****1. Impaired hepatic gluconeogenesis
-### Metformin
+*****2. No NAD to convert lactate to pyruvate
+***Sepsis
+***Liver disease
+***Metformin
+==Source==
+Tintinalli
 [[Category:FEN]]
 [[Category:ID]]