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Derek Larson, MD, FASN Profile picture
Derek Larson, MD, FASN
@DerekSLarson
Private Practice Nephrologist | Hypertension Specialist | Chicago-born | Avoiding Nephrotoxins | @illinois_alma / @uchicago / @WUSTL alumnus
Oct 4, 2022 • 6 tweets • 2 min read
A case of Metformin-induced lactic acidosis (MALA) including a brief thread covering risk factors, kinetics, and indications for hemodialysis 🧵 1/6 Patient with T2DM and chronic alcoholism presented with 2 weeks of poor PO intake, N/V, abdominal pain, and diarrhea. ⬇️BP +⬆️RR in the ER

Risk factors for MALA:
🔸CKD
🔸Liver Disease
🔸Active Alcohol Use
🔸Heart Failure
🔸Series Acute Illness
🔸Hemodynamic Instability
Aug 17, 2022 • 12 tweets • 4 min read
Ever wonder how dialysis units make that fancy, high-quality water? It has always interested me as a nephrologist. Here's a 🧵with photos👇 1/12 ⭐️Potable water💧enters the treatment circuit and the mixing valve blends to the desired temperature
⭐️The valve is equipped with a thermometer🌡️and adjustment knob

2/12