Marble Anion Gap

In contrast the differential diagnosis of metabolic acidosis with a normal anion gap is essentially limited to two conditions diarrhea and renal tubular acidosis.

Marble anion gap.

Ever wondered what on earth the anion gap was all about. Thus the finding of a normal anion gap per se may not exclude the presence of diabetic ketoacidosis. Metabolic acidosis with high anion gap without increased serum chloride severe alkalemia albumin become negatively charged references. But when you ve got yourself a metabolic acidosis this is a good place to start.

An increased anion gap 16 is observed in many inborn errors of metabolism and in most other conditions producing metabolic acidosis in the neonate. Anion gap decreases 2 5 meq per 1 g dl albumin drop. I know there are a couple of calculations and wanted to know is one calculation better than the other. Na cl hc03 anion gap or na k cl hco3 anion gap.

Moreover as confirmed in this pa tient diabetic ketoacidosis may present with pure hy perchloremic acidosis. A retrospective study of 6868 sets of serum electrolytes among hospitalized patients 3 for example revealed incidences of increased and reduced anion gap to be 37 6 and 2 9 respectively. Recent evidence 3 indicates that diabetic ketoacido sis should no longer be viewed simply as wide anion gap metabolic acidosis.