Metabolic LUSK
Lactic, Uraemic, Salicylate, Ketoacidosis
Ketoacidosis SAD
Starvation, Alcohol, DM
Increased Anion Gap MUD PILES
Methanol / metformin, Uraemia, DKA / AKA
Paraldehyde / phenformin, Iron / INH, lactic, ethylene glycol,
salicylate / shock / sepsis / starvation
Normal Anion Gap Acidosis HARD UP
Hyperventilation /hyperalimentation, Acetazolamide, RTA, diarrhoea
Ureteral diversion (ureterosigmoidostomy), pancreatic fistula / parenteral NaCl
Addisons, causes of ANTAM
Autoimmune, Neoplastic, TB, Amyloid, Meningococcal (Waterhouse-Freidhrick)
Diabetes, complications KNIVES
Kidney, Neuropathy, Infection, Vascular, Eyes, Skin lesions
Hypercalcaemia NHS MTV FAPD
Neoplastic (Bony mets, Myeloma, Sq lung), Hyperparathyroidism, Sarcoid
Milk-alkali syn., Thyrotoxicosis, Vit D intoxication
Pagets (acute), Addisons, Familial, Drugs
Hypoglycaemia RE-EXPLAIN
Renal failure, exogenous, pituitary, liver failure, alcohol, infection, neoplasm (insulinoma)
Multiple endocrine neoplasia
MEN I T3P
Thyroid adenoma, Parathyroid, pituitary, pancreas (islet cell, ZE syndrome)
MEN IIa 2PM
Parathyroid, phaeo, Medullary thyroid carcinoma (MTC – calcitonin)
MEN IIb 2PM MG
As above, plus, marfanoid phenotypes, ganglioneuroma (intestinal & visceral)
Osmolar Gaps ME DIE
Methanol, ethanol
Diuretics (mannitol, sorbitol, glycerol), Isopropranolol, ethylene glycol
Phaeochromocytoma 4Ps
Pain, pallor, palpitations, perspiration
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