less likely intra-abdominal source though the patient’s physical examination was not suggestive of a process that would produce such a substantial lactic acidosis. Blood cultures were drawn and the patient was started on empiric antibiotics for the suspected sources. In addition, the patient was ...
Massive Transfusion Massive transfusion Large-volume, refrigerated products Coagulopathy, hypothermia, hypocalcemia, hyperkalemia, lactic acidosis Bleeding Disorders posted in Hematology/Oncology on December 20, 2016 by Editor Overview Disorders of primary hemostasis General: present with mucocutaneous, post...
Detection: severe lactic acidosis, “arterialization” of venous blood, “bitter almond” odor Treatment Hydroxycobalamin (Cyanokit): 5g IV, may repeat x1 Sodium thiosulfate 12.5g IV Methemoglobinemia Mechanism: Fe2+converted to Fe3+, “functional anemia” ...
Gastrointestinal Bleeding Nausea and Vomiting Abdominal Pain Lactic Acidosis Biliary Duct Dilation Hepatic Abscess HPI: 42M with 1.5 weeks of fevers. Initially presented to ER 1wk ago and treated for possible otitis media, however follow-up ENT appointment showed no evidence of OM on exam. Fevers...
Hyperammonemia Hyponatremia Hypocalcemia Oncologic Emergencies Acid-Base Disturbances Diabetic Ketoacidosis Altered Mental Status Lactic Acidosis Electrolyte Abnormalities Hyperglycemic Crises Delirium 1