A CLD patient was having pedal oedema and was prescribed thiazides. He complains of muscle cramps and excessive sleepiness. Work up shows the following repo. pH= 7.55, pCO2= 38 mmHg, Na= 140, K= 3.0mEq, Chloride= 91mEq and HCO3= 33. Comment on the diagnosis.
Correct Answer: Elevated anion gap metabolic alkalosis
Description: CLD, pedal edema - GFR|- RAAS stimulate | Aldosterone | Hypokalemic Metabolic alkalosis Here, AG = Na - (Cl- + HCO3-) = 140 - (91+33) = 16 (|) The "normal" value for the AG repoed by clinical laboratories has declined with improved methodology for measuring plasma electrolytes, and ranges from 6 to 12 mmol/L, with an average of ~10 mmol/L.
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now