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Hyperchloremic Metabolic Acidosis Uptodate

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What is renal tubular acidosis (RTA)? RTA is a type of metabolic acidosis caused by the kidneys failure to properly acidify the urine. Find more videos at http://osms.it/more. Study better with Osmosis Prime. Retain more of what youre learning, gain a deeper understanding of key concepts, and feel more prepared for your courses and exams. Sign up for a free trial at http://osms.it/more. Subscribe to our Youtube channel at http://osms.it/subscribe. Get early access to our upcoming video releases, practice questions, giveaways and more when you follow us on social: Facebook: http://osms.it/facebook Twitter: http://osms.it/twitter Instagram: http://osms.it/instagram Thank you to our Patreon supporters: Sumant Nanduri Omar Berrios Alex Wright Sabrina Wong Suzanne Peek Arfan Azam Mingli Fng Osmosis's Vision: Empowering the worlds caregivers with the best learning experience possible.

Distal Renal Tubular Acidosis In A Seven-week Pregnant Woman: Diagnosis, Complications And Treatments

Nefrologia (English Version) 2011;31:761-3 | doi: 10.3265/Nefrologia.pre2011.Oct.11123 Distal renal tubular acidosis in a seven-week pregnant woman: Diagnosis, complications and treatments Acidosis tubular renal distal en una gestante de 7 semanas: diagnstico, complicaciones y tratamiento. a Servicio de Nefrolog??a, Hospital La Mancha Centro, Alc??zar de San Juan, Ciudad Real, b Servicio de Radiolog??a, Hospital La Mancha Centro, Alc??zar de San Juan, Ciudad Real, Distal renal tubular acidosis (RTA) is a relatively uncommon tubulopathy that is characterised by hyperchloremic metabolic acidosis, hypokalaemia, elevated urine pH (>5.5), and a negative anion gap. Early diagnosis can facilitate providing adequate treatment, which avoids potentially severe complications. Here we present the case report of a gestating mother (7 weeks) diagnosed with RTA. We treated a 28-year old pregnant woman (7 weeks gestation) that sought emergency treatment for intense weakness with vomiting and abdominal pain. She had a history of rhabdomyolysis secondary to severe hypokalaemia of an unknown cause, bilateral nephrocalcinosis, and nephrolithiasis (Figure 1). We reviewed the patients previous laborato Continue reading >>

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  1. number_3

    fructose and low carb (ketone) diet

    I'm interested in the very low carb diet - I've been following it on here and it all seems to make sense. However, I eat a lot of fruit, and am interested to know how much I should curtail this because of the fructose in it?

  2. RosieLKH

    Check out the carbs in the fruit you eat on the My Fitness Pal website. I would imagine it would not fit into a very low carb diet, but it depends how many grams of carbs you plan to have daily. I've had to leave them out, though I sometimes have berries in small amounts.

  3. Freema

    fructose is mainly processed in the liver, so it is best to be avoided... as the liver is in type 2 one ot the major problems as it also does seem to convert proteins into glucose in a higher rate than in non diabetics..
    the worst spiking fruits are mango, banana, pineapple, watermelon but all fruits seem to spike very high and rapidly which is to be avoided as much as possible..
    berrries have less fruit sugar and much more fibres and if you eat those in smaller amounts with cream it is a much better choice.
    in this link you can check out how high in the glychemic index the food you will eat is.. try to mostly eat foods under 30 in the glychemic index
    http://www.montignac.com/en/search-for-a-specific-glycemic-index/

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

Approach To The Adult With Metabolic Acidosis

INTRODUCTION On a typical Western diet, approximately 15,000 mmol of carbon dioxide (which can generate carbonic acid as it combines with water) and 50 to 100 mEq of nonvolatile acid (mostly sulfuric acid derived from the metabolism of sulfur-containing amino acids) are produced each day. Acid-base balance is maintained by pulmonary and renal excretion of carbon dioxide and nonvolatile acid, respectively. Renal excretion of acid involves the combination of hydrogen ions with urinary titratable acids, particularly phosphate (HPO42- + H+ —> H2PO4-), and ammonia to form ammonium (NH3 + H+ —> NH4+) [1]. The latter is the primary adaptive response since ammonia production from the metabolism of glutamine can be appropriately increased in response to an acid load [2]. Acid-base balance is usually assessed in terms of the bicarbonate-carbon dioxide buffer system: Dissolved CO2 + H2O <—> H2CO3 <—> HCO3- + H+ The ratio between these reactants can be expressed by the Henderson-Hasselbalch equation. By convention, the pKa of 6.10 is used when the dominator is the concentration of dissolved CO2, and this is proportional to the pCO2 (the actual concentration of the acid H2CO3 is very lo Continue reading >>

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  1. leelanau

    I realized over the last few months, that I had been unintentionally restricting fat, so I started adding. Low and behold... I started losing weight after a three month stall.
    My question is the comparison between LCHF and Keto. The basic seems to be you need to be in ketosis with both, but in Keto you also count/track calories? Is that a simplistic assessment?
    Does anyone have experience with both diets, and if so, can you share your results? I've been tracking in My PLAN for a few weeks, and will continue, as I also noted I rarely eat over 1400 calories. Trying to figure out if I should up the fat, or stay the course now that I'm slowly dropping again.
    Thanks!

  2. GRB5111

    Right, I've been in both, and it's almost like the difference between succulents and cacti. Nearly all cacti are succulents, but not all succulents are cacti.
    Eating ketogenic is eating LCHF; however, it's a very controlled form of LCHF in that you must keep your daily carb intake low to transition into ketosis. General rule of thumb is to keep your carb intake below 50 grams per day. Some stay much lower, say <20 or <10 grams per day because it works better for them. What works better? Being in ketosis, which is the goal for a ketogenic WOE.
    LCHF is a WOE where you can be in ketosis or not depending on how you limit daily carbs. So LCFH is like a succulent, and ketogenic is like a cacti in that being in ketosis is always LCHF and moderate protein.
    I've been LCHF for over 10 years, but became more strict with my carb intake last spring and eliminated all grains and maintained a daily carb intake around or below 5-15 grams per day. That enabled me to transition into ketosis, and the result was a much faster weight loss, clearer thinking, better moods, and an increase in general overall feeling of health. So, I practice the ketogenic approach, and it's become my standard WOE.
    My stats represent the time period when I started the ketogenic approach, and my daily macros are approximately 70% fat, 20% protein, and 10% carbs. Adding fat was important, but keeping carbs low was also a big factor for me. I get most of my carbs from vegetables like broccoli, cauliflower, brussels sprouts, salads, and sometimes nuts. I stay away from all fruit, grains, and starch foods like root vegetables, beans, and legumes. It works for me.

  3. Nancy LC

    Trying to figure out why LCHF isn't ketogenic. It generally is. Do you mean LCLF?

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this will be a series of lectures to illustrate in simple and precise way how you can manage acid-base imbalance in practical step by step approach.

Differential Diagnosis Of Nongap Metabolic Acidosis: Value Of A Systematic Approach

Go to: Recognition and Pathogenesis of the Hyperchloremia and Hypobicarbonatemia of Nongap Acidosis A nongap metabolic acidosis is characterized by a serum anion gap that is unchanged from baseline, or a decrease in serum [HCO3−] that exceeds the rise in the anion gap (5,6). Whenever possible, the baseline anion gap of the patient should be used rather than the average normal value specific to a particular clinical laboratory (6) and the anion gap should be corrected for the effect of a change in serum albumin concentration (7). These steps will reduce the chance that a co-existing high anion gap acidosis will be missed if the increase in the serum anion gap does not cause the value to exceed the upper limit of the normal range (8,9). Nongap metabolic acidosis (hyperchloremic) refers a metabolic acidosis in which the fall in serum [HCO3−] is matched by an equivalent increment in serum Cl− (6,10). The serum anion gap might actually decrease slightly, because the negative charges on albumin are titrated by accumulating protons (6,11). Hyperchloremic acidosis is a descriptive term, and does not imply any primary role of chloride in the pathogenesis of the metabolic acidosis. As Continue reading >>

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  1. __ish

    So, long story short, I remember reading somewhere that a great way to help speed your body's entry into ketosis is to do a 24 hour fast and some low intensity exercise. Trouble is, I can't seem to find where it was that I read that! Did I dream it up? Is this a thing?

  2. __loridcon

    i believe what you read is this:
    http://josepharcita.blogspot.com/2011/03/guide-to-ketosis.html#33EE

  3. __ish

    Yes! Thank you!
    I stopped eating at 3PM and did the wrong kind of exercise tonight instead of tomorrow morning, but that can be remedied.
    Has anyone had success with this method? This will be my first real go at keto.

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