Metabolic Acidosis Anion Gap

Share on facebook

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

High Anion Gap Metabolic Acidosis

Abstract In the previous chapter, we presented various causes of high anion gap (AG) metabolic acidosis. For discussion purpose, these causes can be conveniently divided into the following categories: 3. 5-Oxoproline (pyroglutamic acid) Continue reading >>

Share on facebook

Popular Questions

  1. anbeav

    Most animals don't have a mechanism for ketosis. Ketosis is a mechanism to provide energy for the brain. Animal brains do not require as much energy as humans and thus the energy requirements can be fulfilled via gluconeogenesis.

  2. anbeav

    My cat is on a keto diet (raw food carnivore diet) but ketones are always negative. Here's one of many articles I've read it in http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2194504/. I've also talked to my vet about this.
    Cats are not humans. Humans have mechanisms for ketosis why are you assuming all animals do and in response to the same stimuli? Anyone can, yes. Not any animal. That's a big difference.
    Ketosis is ketosis. Even on a protein and fat only diet my cat is not in ketosis. His walnut sized brain doesn't demand it. Cats do get ketostix when diabetic but not just from eating a natural cat diet. I don't like it misrepresented either which is why I don't discuss things when drunk :)

  3. anbeav

    If you switched the cats diet it wouldn't go into ketosis though. I'm speaking of nutritional ketosis not ketoacidosis. Other animals don't achieve nutritional ketosis but can achieve ketoacidosis, not the same thing.
    And what do you mean that humans should never be in ketosis for extended periods of time? Why?
    You're mixing terms-ketosis and ketoacidosis

  4. -> Continue reading
read more
Share on facebook

Inspired by Dr. Myat Soe, MD Internal Medicine Series: Clinical Clerkships Overview and Causes of Non-Anion Gap Metabolic Acidosis Made with help of Blueberry Flashback Recorder

Acid-base And Electrolyte Teaching Case Non–anion Gap Metabolic Acidosis: A Clinical Approach To Evaluation

Acid-base disturbances can result from kidney or nonkidney disorders. We present a case of high-volume ileostomy output causing large bicarbonate losses and resulting in a non–anion gap metabolic acidosis. Non–anion gap metabolic acidosis can present as a form of either acute or chronic metabolic acidosis. A complete clinical history and physical examination are critical initial steps to begin the evaluation process, followed by measuring serum electrolytes with a focus on potassium level, blood gas, urine pH, and either direct or indirect urine ammonium concentration. The present case was selected to highlight the differential diagnosis of a non–anion gap metabolic acidosis and illustrate a systematic approach to this problem. Continue reading >>

Share on facebook

Popular Questions

  1. WhoAteMyPsyche

    I've been trying to find the science between how the body reacts in ketosis vs someone who just tries to keep their carbs low. I know some people can be in ketosis with 50 carbs or less, but I do not think that is the case for most people.
    When I first started losing weight I was keeping my carbs between 40-50, and lost between 80-90 lbs. doing that. I then started doing more research (I stalled for a long time) and switched to keto and keep my carbs below 20. However, I'm working on a blog post trying to explain keto and would like to be able to explain, intelligently, the difference in ketosis vs "lowish" carbs.

    Can anyone point me to good research on this? Thank you!

  2. Fiorella

    Honestly, I think the best data or research is testing your own body, as in n=1. Starting at 20 g carbs is a starter's template. From there, you may need to go lower, or get away with pushing it higher. Let's say someone comes up with a bell curve showing where people have there carbs set at. It will still be a snapshot in time, possibly skewed to men/women only, age groups, metabolic diseases, athletic/sedentary, etc. Also, some people noticed that with time, the carb level requirement changed as their bodies health modified, too.

  3. WhoAteMyPsyche

    I completely agree that everyone is different and that the carb levels can change over time. I know, at least in my experience, just because someone knows about low carb doesn't mean they know what ketosis is. When I first started I was going off a plan I had followed in the 90s (Protein Power Plan) and knew nothing about ketosis. I had heard the term "keto" thrown around by a few people but just thought it was a different way of saying the same thing - Protein Power, Atkins, etc. So I guess the key is telling people WHAT keto is and why lowering your carbs works. They can then take that info and learn for themselves what works for them.

  4. -> Continue reading
read more
Share on facebook

More at Dr M. Hanna website http://www.drmhanna.com http://www.mhannamd.com

Best Case Ever 56 Anion Gap Metabolic Acidosis

In this month’s Best Case Ever on EM Cases Dr. Ross Claybo and Dr. Keerat Grewal tell the story of a patient with a complicated anion gap metabolic acidosis. We discuss how to sort through the differential diagnosis with a better mnemonic than MUDPILES, the controversy around administering sodium bicarbonate for metabolic acidosis, the indications for fomepizole and the value of taking time to to build a therapeutic relationship with your ED patients. Podcast production and sound design by Anton Helman. Show notes by Anton Helman, March 2017 The MUDPILES mnemonic for anion gap metabolic acidosis is out of date Why? Metabolic acidosis due to paraldehyde overdose is exceedingly rare Iron and isoniazid are just two of many drugs and toxins that cause hypotension and lactic acidosis (isoniazid can also generate a component of ketoacidosis). Three “newer” anion-gap-generating acids have been recognised recently: D-lactic acid, which can occur in some patients with short bowel syndromes. 5-oxoproline (or pyroglutamic acid) associated with chronic acetaminophen use. Propylene glycol infusions – solvent used for several IV medications including lorazepam and phenobarbital. The GOLD Continue reading >>

Share on facebook

Popular Questions

  1. Gareth

    Hi Forum, this is my first post. I am type 1 and have had serious DKA back in July. I was on a drip for a week and altogether it took 8 days in hospital. Now I am ina similar position. I have read some places where keytones are out of the system in a day or two but I am not getting better. Has anyone had DKA and for how long. And how many days to tyou were able to eat again. Thank you for your help.

  2. Psycho Penguin

    It took me 2 weeks to recover from my DKA but I had pneumonia also. It is different for everyone, but a week to 10 days seems to be average from what I hear. Note my 2 weeks was my first and only DKA in my life so far.

  3. Gareth

    Thanks this makes me feel like I have a bit of time to get over this. May I ask - How long before yolu were able to eat? I am a lightweight - only 'normally' 65 Kg's but I have just lost 10KG weight. I can't keep stuff down and hardly want to eat. Did bad control bring it on with Pneumonia or just the infection? Thanks for your help and time.

  4. -> Continue reading
read more

No more pages to load

Related Articles

  • Anion Gap Metabolic Acidosis

    Treatment of acute non-anion gap metabolic acidosis Medical and Research Services VHAGLA Healthcare System, Division of Nephrology, VHAGLA Healthcare System Correspondence to: Jeffrey A. Kraut; E-mail: [email protected] Search for other works by this author on: Clinical Kidney Journal, Volume 8, Issue 1, 1 February 2015, Pages 9399, Jeffrey A. Kraut, Ira Kurtz; Treatment of acute non-anion gap metabolic acidosis, Clinical Kidney Journal, Volume 8, ...

    ketosis Apr 29, 2018
  • Icd 10 Code For Anion Gap Metabolic Acidosis

    When acidosis is present on blood tests, the first step in determining the cause is determining the anion gap. If the anion gap is high (>12 mEq/L), there are several potential causes. High anion gap metabolic acidosis is a form of metabolic acidosis characterized by a high anion gap (a medical value based on the concentrations of ions in a patient's serum). An anion gap is usually considered to be high if it is over 12 mEq/L. High anion gap meta ...

    ketosis Mar 29, 2018
  • What Is Anion Gap Metabolic Acidosis?

    The classic mnemonic often used to remember the causes of anion gap metabolic acidosis is “MUDPILES” M – Methanol U – Uremia D – Diabetic ketoacidosis P – Propylene Glycol I – Isoniazid L – Lactic Acidosis E – Ethylene Glycol S – Salicylates More recently a new mnemonic has been suggested to update new our understanding of anion-gap generating acids. The updated mnemonic “GOLD MARK” was proposed in a 2008 article in The La ...

    ketosis Apr 9, 2018
  • Sepsis Metabolic Acidosis Anion Gap

    Patient professional reference Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find one of our health articles more useful. See also separate Lactic Acidosis and Arterial Blood Gases - Indications and Interpretations articles. Description Metabolic acidosis is defined as an arterial blood pH <7.35 with plasma bicarb ...

    ketosis May 4, 2018
  • Normal Anion Gap Metabolic Acidosis

    Acid-Base, Electrolyte and Fluid Alterations: Review Review of the Diagnostic Evaluation of Normal Anion Gap Metabolic Acidosis I have read the Karger Terms and Conditions and agree. I have read the Karger Terms and Conditions and agree. Buy a Karger Article Bundle (KAB) and profit from a discount! If you would like to redeem your KAB credit, please log in . Save over 20% compared to the individual article price. Buy Cloud Access for unlimited v ...

    ketosis May 1, 2018
  • Metabolic Acidosis Anion Gap

    A Lancet Editorial1 in 1977, referring to an article entitled “Clinical use of the anion gap”2 opined: “In an age when all too often plasma-electrolyte measurements are ordered without any deliberate judgment being made as to the likely usefulness of the result, it is refreshing to have a reminder of the subtleties involved in the interpretation of this commonest set of clinical-chemistry tests”. We have discovered some new twists over th ...

    ketosis Jan 4, 2018

More in ketosis