MUDPILES

• M - Methanol poisoning
• U - Uremia
• D - !DKA - Diabetic KetoAcidosis
• P - Paraldehyde → European version of Acetaminophen (Tylenol®)
• L - Lactic Acidosis
  • Type I: shoke → !Sepsis
  • Type II: Other causes, e.g. eizure, metformin
• I - Isoniazid
• E - Ethylene glycol
• S - Salicylates ASA (Asprin) poisoning
• Severe Renal Failure (< 30)

“Lactic, Ketone, Toxic Alcohol, Other drug: ASA, Metformin, Renal Failure

• Check Osmotic Gap (<10) : Toxin
• Check Serum Lactate (< 4.0 mmol/L), sCr (60-100 umol/L), Ketone