CCC Critical Care compendium 340
Pyroglutamic Acidosis

Pyroglutamic acidosis is a rare cause of high anion gap metabolic acidosis (HAGMA). When glutathione levels are low, the activity of γ-glutamyl cyclotransferase is increased, resulting in pyroglutamic acid accumulation in glutathione-depleted states

CCC Critical Care compendium 340
D-Lactic acidosis

D-Lactic acidosis aka D-lactic encephalopathy. Rare cause of high anion gap metabolic acidosis (HAGMA), typically occurs in patients short bowel syndrome or following jejuno-ileal bypass surgery

EBM Gone Wild mountain 340
Big cats and you

Many people own pets. Somewhere around 30% of US households have dogs, and nearly the same amount have cats. There is certainly some overlap. However, these are the normal people. There are also between 5000 and 7000 tigers in captivity,…

LITFL CCC SMILE2 340
Evidence-Based Medicine

Evidence-Based Medicine (EBM) as "the conscientious and judicious used of current best evidence from clinical research in the management of individual patients".

LITFL CCC SMILE2 340
Critical Thinking

Critical thinking is a core skill that helps link evidence to clinical expertises, the patient's individual circumstances and environmental influences

Ultrasound cases top 100 340
Bladder Stone: Case 2

Young male presents with severe sharp right flank pain radiating to the testicle. Just prior to the ultrasound his pain had resolved. What does the below image of the right kidney in longitudinal section show?