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WikEM is wiki-based medical website and point-of-care phone application for emergency medicine clinicians. [1] WikEM is owned by OpenEM Foundation, a 501(c)(3) nonprofit organization. [ 2 ] WikEM initially started as a database created from notes and checklists passed from resident class to subsequent resident class at the Harbor-UCLA emergency ...
WikEM is a wiki-based website and mobile application oriented towards emergency medicine clinicians. [16] It started as a database created from notes and checklists of residents at the Harbor-UCLA emergency medicine residency program, but is now open to all clinical providers. [17] [18] WikEM was launched in 2009. [17]
Blood tests for the diagnosis of diabetic ketoacidosis measure glycemia (sugar level), pH (blood acidity), and ketone bodies. As urgent medical treatment is often required when DKA is suspected, the tentative diagnosis can be made based on clinical history and by calculating the anion gap from the basic metabolic panel , which would demonstrate ...
Stage 3 (24 to 72 hours) kidney failure is the result of ethylene glycol poisoning. In cats, this stage occurs 12–24 hours after consuming antifreeze; in dogs, at 36–72 hours after consuming antifreeze. [9] During this stage, severe kidney failure is developing secondary to calcium oxalate crystals forming in the kidneys. [9]
The diabetic pet is considered regulated when its blood glucose levels remain within an acceptable range on a regular basis. Acceptable levels for dogs are between 5 and 10 mmol/L or 90 to 180 mg/dL. [64] [65] The range is wider for diabetic animals than non-diabetics, because insulin injections cannot replicate the accuracy of a working pancreas.
DKA often has serum glucose level greater than 300 mg/dL (HHS is >600 mg/dL). [6] DKA usually occurs in type 1 diabetics whereas HHS is more common in type 2 diabetics. [6] DKA is characterized by a rapid onset, and HHS occurs gradually over a few days. [6] DKA also is characterized by ketosis due to the breakdown of fat for energy. [6]
Pedigree Dogs Exposed: Three Years On is a 2012 follow-up to the 2008 BBC One documentary, Pedigree Dogs Exposed (PDE).While this second programme looks at the positive changes made since the original film, it focuses on investigating areas of continuing concern.
The management of KPD revolves around 3 main components: acutely managing DKA, identification of KPD subtype, and longterm diabetic management similar to that in type 2 diabetes. [6] As patients are likely to initially present in DKA, the acute management of DKA is the first priority.