Month: April 2014

Good Doctors...Better People

Dialysis vs Bicarbonate Therapy For Lactic Acidosis

In the world of critical care medicine sepsis with subsequent Type A Lactic Acidosis (fig 1.) is a common occurrence. And of course the question of should the patient be dialysis for acidosis (the A in AEIOU for emergent dialysis again) arises. This is a difficult answer and one that should be evaluated on a…
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Differential Diagnosis of AKI in Liver Disease

I recently received a consult for a liver patient with Hep B and Hep C with cirrhosis that developed worsening ascites and oliguric AKI I ask the resident if the usual initial evaluation was done and she was unaware of what that was, therefore I decided to briefly touch on the differential diagnosis and evaluation…
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