Lactic acidosis differential diagnosis: Difference between revisions
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== Overview == | |||
There are certain conditions to be kept in mind for a diagnosis of lactic acidosis: | |||
* Inborn errors of metabolism | |||
* Cardiogenic shock | |||
* Cardiogenic pulmonary edema | |||
== Differentiating Lactic acidosis from other Diseases == | |||
Lactic acidosis should be differentiated from: | Lactic acidosis should be differentiated from: | ||
| Line 28: | Line 37: | ||
**Ricin & Castor Beans | **Ricin & Castor Beans | ||
**Propofol | **Propofol | ||
**Sympathomimetics (cocaine, methamphetamine) | **Sympathomimetics (cocaine, methamphetamine) | ||
* | * | ||
Revision as of 10:57, 19 November 2021
Overview
There are certain conditions to be kept in mind for a diagnosis of lactic acidosis:
- 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
- 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)
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