Assessment & Plan (short)
# 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).
Dx:
- osm, EtOH, ASA, APAP, osm gap calculation per clinical scenario
- BHB
- VBG/lactate
Tx:
- per etiology
Description
A&P for AGMA
Organ systems
Author
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Originally created: September 20, 2021 by lame_user_name
Last updated on September 20, 2021 byPage Editor: not assigned
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