Template:Lactic acidosis DDX - Revision history

Elcatracho: /* Lactic acidosis */

2021-03-07T01:15:58Z

Lactic acidosis

← Older revision		Revision as of 01:15, 7 March 2021
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	*Malignancy		*Malignancy
	*Exercise		*Exercise
	*[[Albuterol]] and other beta agonists<ref>Dodda V and Spiro P. Albuterol, an Uncommonly Recognized Culprit in Lactic Acidosis. Chest. 2011;140.</ref>		*[[Albuterol]] and other beta agonists<ref>Dodda V and Spiro P. Albuterol, an Uncommonly Recognized Culprit in Lactic Acidosis. Chest. 2011;140.</ref><ref>. Zitek T, Cleveland N, Rahbar A, et al. Effect of nebulized albuterol
			on serum lactate and potassium in healthy subjects. Acad Emerg
			Med 2016;23:718–21.</ref>
	*Toxicologic Causes:		*Toxicologic Causes:
	**[[Cyanide]]		**[[Cyanide]]

Elcatracho: /* By Type */

2021-03-07T01:05:25Z

By Type

← Older revision		Revision as of 01:05, 7 March 2021
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	***Mainly due to D-lactate production, though hypovolemia contributes		***Mainly due to D-lactate production, though hypovolemia contributes
	**[[hepatic failure\|Liver disease]] (decreased clearance)		**[[hepatic failure\|Liver disease]] (decreased clearance)
	**Adrenergic receptor agonism; viz., albuterol, epinephrine, etc		**Adrenergic receptor agonism; viz., [[albuterol]], [[epinephrine]], etc
	**Malignancy		**Malignancy
	**[[Carbon Monoxide]] poisoning		**[[Carbon Monoxide]] poisoning

ClaireLewis: /* Complete List */

2019-11-11T20:51:03Z

Complete List

← Older revision		Revision as of 20:51, 11 November 2019
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	====Complete List====		====Complete List====
	*Any [[shock]] state		*Any [[shock]] state
	*[[SIRS~~, Lactate~~ may be 2-5 mEq/L]]		*[[SIRS]]; lactate may be 2-5 mEq/L
	*[[Thiamine ~~Deficiency,~~ more often seen in ICU settings; Thiamine is a co-factor for pyruvate dehydrogenase]]		*[[Thiamine deficiency]]; more often seen in ICU settings; Thiamine is a co-factor for pyruvate dehydrogenase
	*[[Seizure]]		*[[Seizure]]
	*[[ischemic bowel\|Dead gut]]		*[[ischemic bowel\|Dead gut]]

Hour: /* Complete List */

2019-11-11T00:13:26Z

Complete List

← Older revision		Revision as of 00:13, 11 November 2019
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	====Complete List====		====Complete List====
	*Any [[shock]] state		*Any [[shock]] state
			*[[SIRS, Lactate may be 2-5 mEq/L]]
			*[[Thiamine Deficiency, more often seen in ICU settings; Thiamine is a co-factor for pyruvate dehydrogenase]]
	*[[Seizure]]		*[[Seizure]]
	*[[ischemic bowel\|Dead gut]]		*[[ischemic bowel\|Dead gut]]

ClaireLewis at 16:20, 29 September 2019

2019-09-29T16:20:43Z

← Older revision		Revision as of 16:20, 29 September 2019
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	**[[INH]] (if patient seizes)		**[[INH]] (if patient seizes)
	**Hemlock		**Hemlock
	**[[~~Depakote~~]]		**[[Valproate]]
	**[[Hydrogen Sulfide]]		**[[Hydrogen Sulfide]]
	**[[Nitroprusside]] (if cyanide toxic)		**[[Nitroprusside]] (if cyanide toxic)

ClaireLewis at 16:19, 29 September 2019

2019-09-29T16:19:53Z

← Older revision		Revision as of 16:19, 29 September 2019
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	====By Type====		====By Type====
	*'''Type A (tissue hypoperfusion)'''		*'''Type A (tissue hypoperfusion)'''
	**Hypovolemia		**[[Hypovolemia]]
	**Cardiac failure		**[[heart failure\|Cardiac failure]]
	**[[Sepsis]]		**[[Sepsis]]
	*'''Type B (decreased utilization)'''		*'''Type B (decreased utilization)'''
	**Alcoholism		**[[alcohol Abuse\|Alcoholism]]
	***↓ Lactate utilization secondary to hepatic dysfunction		***↓ Lactate utilization secondary to hepatic dysfunction
	***↓ NAD+/NADH ratio leads to ↑ conversion of pyruvate to lactate		***↓ NAD+/NADH ratio leads to ↑ conversion of pyruvate to lactate
	**[[Metformin]]		**[[Metformin]]
	**DKA		**[[DKA]]
	***Mainly due to D-lactate production, though hypovolemia contributes		***Mainly due to D-lactate production, though hypovolemia contributes
	**Liver disease (decreased clearance)		**[[hepatic failure\|Liver disease]] (decreased clearance)
	**Adrenergic receptor agonism; viz., albuterol, epinephrine, etc		**Adrenergic receptor agonism; viz., albuterol, epinephrine, etc
	**Malignancy		**Malignancy
Line 23:		Line 23:

	====Complete List====		====Complete List====
	*Any shock state		*Any [[shock]] state
	*[[Seizure]]		*[[Seizure]]
	*Dead gut		*[[ischemic bowel\|Dead gut]]
	*Hepatic failure		*[[Hepatic failure]]
	*Malignancy		*Malignancy
	*Exercise		*Exercise
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	**Stavudine		**Stavudine
	**Zidovudine		**Zidovudine
	**Linezolid		**[[Linezolid]]
	**Strychnine		**[[Strychnine]]
	**Emtriva		**Emtriva
	**Rotenone (Fish Poison		**Rotenone (Fish Poison
	**NaAzide (Lab Workers)		**NaAzide (Lab Workers)
	**APAP (if Liver Fx)		**[[APAP]] (if Liver Fx)
	**Phospine (rodenticide)		**Phospine (rodenticide)
	**NaMonofluoroacetate (Coyote Poison‐ give Etoh as antidote)		**NaMonofluoroacetate (Coyote Poison‐ give Etoh as antidote)
	**~~Inh~~ (if patient seizes)		**[[INH]] (if patient seizes)
	**Hemlock		**Hemlock
	**Depakote		**[[Depakote]]
	**[[Hydrogen Sulfide]]		**[[Hydrogen Sulfide]]
	**Nitroprusside (if cyanide toxic)		**[[Nitroprusside]] (if cyanide toxic)
	**[[Ricin]] & Castor Beans		**[[Ricin]] & Castor Beans
	**[[Propofol]]		**[[Propofol]]
	**Sympathomimetics (cocaine, methamphetamine)		**[[Sympathomimetics]] (cocaine, methamphetamine)
	**Jequirty peas (Abrus precatorius)		**Jequirty peas (Abrus precatorius)
	**Prunus Amygdalus plants		**Prunus Amygdalus plants
	**Crab tree apple seeds & cassava (yucca)		**Crab tree apple seeds & cassava (yucca)
	**[[HAART-induced lactic acidosis]]		**[[HAART-induced lactic acidosis]]

Rossdonaldson1: /* Complete List */

2017-08-27T00:52:49Z

Complete List

← Older revision		Revision as of 00:52, 27 August 2017
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	**Prunus Amygdalus plants		**Prunus Amygdalus plants
	**Crab tree apple seeds & cassava (yucca)		**Crab tree apple seeds & cassava (yucca)
			**[[HAART-induced lactic acidosis]]

Catlee18: /* Lactic acidosis */

2017-03-31T03:15:32Z

Lactic acidosis

← Older revision		Revision as of 03:15, 31 March 2017
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	**DKA		**DKA
	***Mainly due to D-lactate production, though hypovolemia contributes		***Mainly due to D-lactate production, though hypovolemia contributes
	**Liver disease		**Liver disease (decreased clearance)
			**Adrenergic receptor agonism; viz., albuterol, epinephrine, etc
	**Malignancy		**Malignancy
	**[[Carbon Monoxide]] poisoning		**[[Carbon Monoxide]] poisoning

Catlee18: /* Lactic acidosis */

2017-03-31T03:13:04Z

Lactic acidosis

← Older revision		Revision as of 03:13, 31 March 2017
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	**[[Carbon Monoxide]] poisoning		**[[Carbon Monoxide]] poisoning
	**[[Cyanide]] poisoning		**[[Cyanide]] poisoning
			*'''Type D'''
			**episodes of encephalopathy and metabolic acidosis typically following high carbohydrate meals in patients with short bowel syndrome
			**metabolic acidosis and high serum anion gap, normal lactate level, short bowel syn or other forms of malabsorption, and characteristic neurologic findings
			***Type D lactate is not detected with standard lactate levels

	====Complete List====		====Complete List====

Rossdonaldson1: /* Complete */

2016-06-15T02:33:54Z

Complete

← Older revision		Revision as of 02:33, 15 June 2016
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	**[[Cyanide]] poisoning		**[[Cyanide]] poisoning

	===Complete===		====Complete List====
	*Any shock state		*Any shock state
	*[[Seizure]]		*[[Seizure]]