Episode 389: Rafael Medina Subspecialty Series – Hypotension and Peaked T waves
The Clinical Problem Solvers
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Navigating Acute Kidney Injury and Metabolic Disturbances
This chapter explores a complex medical case of a 27-year-old patient with medulloblastoma facing severe electrolyte imbalances and acute kidney injury. The discussion includes critical analysis of lab results, evaluation of urine characteristics, and the implications of a patient's vital signs in diagnosing conditions like hyperkalemia and metabolic acidosis. Additionally, a new mnemonic, Goldmark, is introduced to assist healthcare professionals in identifying causes of high anion gap metabolic acidosis.
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