# Anion gap metabolic acidosis
Pt presents with elevated anion gap of *** and acidosis. Renal insufficiency is ***present. Suspicion of toxic ingestion is ***. Most likely etiology is ***, with a differential including lactic acidosis, uremia/ESRD, ketosis (starvation, alcoholic, diabetic), toxic alcohols (ethylene glycol, methanol, ASA).
- osm, EtOH, ASA, APAP, osm gap calculation per clinical scenario
- per etiology