Increased anion gap seen in all EXCEPT
Correct Answer: Renal tubular acidosis
Description: (Renal tubular acidosis) (808-CMDT-10, 289-H17th)* Normal anion gap (AG) 6-12 mmol/L and is calculated as follows AG = Na+ - (Cl- + HCO3)ANION - GAP IN METABOLIC ACIDOSISNORMAL (6-12 mEq)INCREASED (>12mEq)* LossofHCOJ- Diarrhea**- Recovery from DKA- Pancreatic fluid loss ileostomy- Carbonic anhydrase inhibitors* Chloride retension- Renal tubular acidosis**- Ileal loop bladder* Administration of HC1 equivalent or NH4C1 Arginine and lysine in parenteral nutritionMetabolic anion**- DKA**- Alcoholic ketoacidosis- Lactic acidosis**- Chronic kidney disease (advanced stages)- Starvation- Metabolic alkolosis* Renal failure (Acute and chronic)Drugs or chemical anion- Salicylate intoxication- Sodium carbenicilline therapy- Methanol (formic acid)- Ethylene glycol (oxalic acid)**- Propylene glycol- Pyroglutamic acidDECREASED (<6 mEq)* Hypo albuminemia (decreased unmeasured anion)* Plasma cell dyscrasiasMonoclonal protein (cationic para protein) (accompanied by chloride and bicarbonate)* Bromide intoxication* It consist of for the most part of proteins in the anion form HPO 4 , SO 4 and organic acids. The unmeasured cations and K+, Ca+, or Mg+* Positive Urinary anion gap - Implies renal loss of bicarbonates and DX is usually distal RTA*** Negative urinary anion gap - Implies GI loss of bicarbonate - Diarrhea (Metabolic acidosis**)
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