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Hyperchloremic Metabolic Acidosis Icd 10

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Anion gap usmle - anion gap metabolic acidosis normal anion gap metabolic acidosis

Metabolic Acidosis With Diabetes Mellitus

Publication Date: 2004-05 Fourth quarter ICD 10 AM Edition: Fourth edition Query Number: 2125 30 year old patient with a PDx on discharge summary of metabolic acidosis. Patient is also an IDDM, with a history of a flu like illness for the past week, and noted to be dehydrated on admission. Patient stated BSL readings had been good. LOS 4 days. Following the Index Diabetes, acidosis, lactic - lactic is an essential modifier and there is no default or entry for metabolic or any of the other types of acidosis apart from ketoacidosis. 1. There is an excludes note under E87.2 Acidosis - Excludes: diabetic acidosis (E10- E14 with common 4th character .1). It would seem as though the classification is telling coders to code all types of acidosis to 'lactic acidosis' when in a diabetic patient. However the Index entry under Diabetes does not give this impression. Please could the committee confirm that the correct code/s would be E10.13 'Type 1 diabetes mellitus with lactic acidosis, without coma' for the diagnosis of metabolic acidosis in a diabetic patient. 2. Respiratory, lactic, and metabolic acidosis, ketoacidosis and acidosis NEC are all indexed to E87.2. Should coders code all the a Continue reading >>

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  1. Greenoctopus18

    I just saw the doctor between classes today and was told that I had ketones in my urine. What can this possibly mean?
    I have to call the doctor in an hour or so but I have just been reading and it is all about diabetes! I don't have diabetes. So what else can cause this?
    Thanks.
    I am female and 20 years old, relatively fit, I think. 53kg (117 pounds) for 5 feet and 5 inches tall so I am not overweight or over 40 and I never have smoked and haven't drank alcohol for well over 3 months.
    Thanks again.

  2. jonvieve21

    Hi, A couple of things come to mind. Are you pregnant? Also the Atkins diet which includes high protein, zero carbs cause ketones in the urine. You may want to write everything you eat to keep a journal of the kind of diet you have. This way you can show the doctor what is going on.

  3. Greenoctopus18

    Wow. I hope not.
    I usually eat a lot of breads and cereals, etc so I have plenty of carbohydrates, I think.
    Thankyou so much for replying so quickly.
    I have had a sore back around my kidneys for a week or so now. I just hoped it was from a bad mattress.
    When I call I will ask about a pregnancy test.
    Thankyou.

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Exercise-induced Rhabdomyolysis A Patient Series

Exercise-induced rhabdomyolysis a patient series Current address: Department of Endocrinology, Morbid Obesity and Preventive Medicine He contributed to the design, data collection, analysis and interpretation, literature search, drafting and revision of the manuscript and has approved the submitted version. Kiarash Tazmini (born 1976), research fellow. The author has completed the ICMJE form and reports no conflicts of interest. He contributed to the design, data collection, obtaining consent, data interpretation, literature search, drafting and revision of the manuscript and has approved the submitted version. Christoffer Schreiner (born 1985), specialty registrar in internal medicine, and assistant professor. The author has completed the ICMJE form and reports no conflicts of interest. She contributed to revision of the manuscript and has approved the submitted version. Sidsel Bruserud (born 1980), specialty registrar in internal medicine. The author has completed the ICMJE form and reports no conflicts of interest. He contributed to revision of the manuscript and has approved the submitted version. Truls Raastad (born 1968), professor of sports physiology and specialist in spor Continue reading >>

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  1. Doug Freyburger

    Others have mentioned the chemical details that lead to limits. That's only one side of the story. The other side is redundancy in energy production. Ketones can be used in anaerobic energy production. It's not as efficient but it is faster. There are times when fast beats efficient so redundancy gets selected for.

  2. Anand R

    Acetyl CoA can’t be circulated for two reasons: it’s a high energy compound and it’s labile. So it’s not a stable form for circulation to tissues. Also acetyl coA cannot cross cell membrane.
    Ketone bodies are an alternate fuel source. More importantly, they are water soluble analogs of fatty acids. This is important since, during starvation there is fat breakdown and excess fatty acids circulate in blood. However, fatty acids cannot be used by brain as fuel since, they cannot cross the blood brain barrier. Liver by producing ketone bodies helps brain cells during starvation.

    Also, these ketone bodies, as such, can be used by other tissues as well. There by other tissues refrain from using glucose. Hence, ketone bodies have a glucose-sparing effect. This glucose will be available for tissues like brain and red cells for use.

  3. Barry Gehm

    It’s because oxaloacetate is needed to metabolize acetyl-CoA (first step in the Krebs cycle is the reaction of acetyl-CoA with oxaloacetate) and is also needed (and used up) in gluconeogenesis (the production of glucose from amino acids and other small molecules, but NOT from acetyl groups or fatty acids). The liver is primarily responsible for gluconeogenesis, and if it uses up oxaloacetate on that, acetyl-CoA builds up and ties up all the coenzyme A in acetylated form. In order to alleviate this, the liver converts the acetyl-CoA into ketone bodies, and releases them into the blood. These, as the book says, are taken up by other tissues (such as brain and muscle) and converted back into acetyl-CoA. A key point is that these cells can use the acetyl-CoA because they are not depleted in oxaloacetate because they do not carry out gluconeogenesis.

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2018 Icd-10-cm Diagnosis Code N25.89

N00-N99 Diseases of the genitourinary system N25-N29 Other disorders of kidney and ureter N25- Disorders resulting from impaired renal tubular function Other disorders resulting from impaired renal tubular function N25.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Oth disorders resulting from impaired renal tubular function The 2018 edition of ICD-10-CM N25.89 became effective on October 1, 2017. This is the American ICD-10-CM version of N25.89 - other international versions of ICD-10 N25.89 may differ. The following code(s) above N25.89 contain annotation back-references In this context, annotation back-references refer to codes that contain: certain conditions originating in the perinatal period ( P04 - P96 ) certain infectious and parasitic diseases ( A00-B99 ) complications of pregnancy, childbirth and the puerperium ( O00-O9A ) congenital malformations, deformations and chromosomal abnormalities ( Q00-Q99 ) endocrine, nutritional and metabolic diseases ( E00 - E88 ) injury, poisoning and certain other consequences of external causes ( S00-T88 ) symptoms, signs and abnormal clinical and laborato Continue reading >>

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  1. LMG23

    Best time to test with ketostix ?

    I wanted to know what time during the day is it best to test for ketosis ? I was thinking it might possibly be in the morning before breakfast or having anything to drink. Thanks

  2. anabolicangel

    Originally Posted by LMG23
    I wanted to know what time during the day is it best to test for ketosis ? I was thinking it might possibly be in the morning before breakfast or having anything to drink. Thanks

    Doesn't really matter. Some people say it's better to not do it on the first piss of the morning but I've never noticed any difference.
    Don't get hung up on them.

  3. Eileen

    Any time your urine is reasonably concentrated. That's usually first thing in the morning or after a workout.

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