Lactic acidosis differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 1: | Line 1: | ||
<br /> | <br />{{CMG}}{{AE}}{{SK}} | ||
==Overview== | |||
Lactic acidosis must be differentiated from other diseases that cause elevated lactate Any shock state or dysfunction of the metabolic pathway responsible for lactate clearance or production can underlie lactic acidosis. A few are: | |||
*Inborn errors of metabolism | |||
*Cardiogenic shock | |||
*Cardiogenic pulmonary edema | |||
==Differentiating Lactic acidosis from other Diseases== | |||
== Differentiating Lactic acidosis from other Diseases == | |||
Lactic acidosis should be differentiated from: | Lactic acidosis should be differentiated from: | ||
*Any shock state | *Any shock state | ||
*SIRS; lactate may be 2-5 mEq/L | *[[Systemic inflammatory response syndrome|SIRS]]; lactate may be 2-5 mEq/L | ||
*Thiamine deficiency | *[[Beriberi|Thiamine deficiency]] | ||
*Seizures | *D-lactic acidosis | ||
*[[Seizure|Seizures]] | |||
*Infarcted colon | *Infarcted colon | ||
*Hepatic failure | *[[Hepatic failure]] | ||
*Malignancy | *Malignancy | ||
*Heavy exercise | *Heavy exercise | ||
*Albuterol and other beta agonists | *Albuterol and other beta agonists | ||
*Toxicologic Causes: | *Toxicologic Causes: | ||
**Cyanide | **[[Cyanide poisoning|Cyanide]] | ||
**Carbon Monoxide | **[[Carbon monoxide|Carbon Monoxide]] | ||
**Metformin use in diabetics | **Metformin use in diabetics | ||
**Didanosine | **Didanosine | ||
| Line 29: | Line 29: | ||
**Linezolid | **Linezolid | ||
**Strychnine | **Strychnine | ||
**Rotenone (Fish Poison | **[[Rotenone]] (Fish Poison) | ||
**Phospine (rodenticide) | **Phospine (rodenticide) | ||
**INH (if patient seizes) | **INH (if patient seizes) | ||
**Valproate | **Valproate | ||
**Hydrogen Sulfide | **Hydrogen Sulfide | ||
**Nitroprusside (cyanide) | **[[Nitroprusside adverse reactions|Nitroprusside]] (cyanide) | ||
**Ricin & Castor Beans | **Ricin & Castor Beans | ||
**Propofol | **Propofol | ||
Revision as of 11:45, 19 November 2021
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: '''Synonyms and keywords:
Overview
Lactic acidosis must be differentiated from other diseases that cause elevated lactate Any shock state or dysfunction of the metabolic pathway responsible for lactate clearance or production can underlie lactic acidosis. A few are:
- Inborn errors of metabolism
- Cardiogenic shock
- Cardiogenic pulmonary edema
Differentiating Lactic acidosis from other Diseases
Lactic acidosis should be differentiated from:
- Any shock state
- SIRS; lactate may be 2-5 mEq/L
- Thiamine deficiency
- D-lactic acidosis
- Seizures
- Infarcted colon
- Hepatic failure
- Malignancy
- Heavy exercise
- Albuterol and other beta agonists
- Toxicologic Causes:
- Cyanide
- Carbon Monoxide
- Metformin use in diabetics
- Didanosine
- Stavudine
- Zidovudine
- Linezolid
- Strychnine
- Rotenone (Fish Poison)
- Phospine (rodenticide)
- INH (if patient seizes)
- Valproate
- Hydrogen Sulfide
- Nitroprusside (cyanide)
- Ricin & Castor Beans
- Propofol
- Sympathomimetics (cocaine, methamphetamine)
|
Lactic acidosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Lactic acidosis differential diagnosis On the Web |
|
American Roentgen Ray Society Images of Lactic acidosis differential diagnosis |
|
Risk calculators and risk factors for Lactic acidosis differential diagnosis |