Negative anion gap and elevated osmolar gap due to lithium overdose
نویسندگان
چکیده
منابع مشابه
Lactate and the osmolar gap
Although the teaching case report in the March 27 issue on a negative anion gap and elevated osmolar gap resulting from lithium overdose is interesting, I identified the following concern. In the third paragraph from the end of the report, the authors listed lactate as one of the potential causes of an elevated osmolar gap that they excluded. It is unfortunate that they perpetuated this common ...
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priorities permit. The comments should not exceed 350 words in length, with a maximum of five references; one figure or table can be printed. Exceptions may occur under particular circumstances. Contributions may include comments on articles published in this periodical, or they may be reports of unique educational character. Please include a cover letter with a complete list of authors (includ...
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A 74-year-old Caucasian male was referred to our clinic for low serum bicarbonate levels and a high anion gap (HAG). Past medical history included hypertension, hypothyroidism, iron deficiency anaemia secondary to gastrointestinal bleeding and hyperlipidaemia. He was on Bicitra 30 mL orally three times daily, levothyroxine 75 mcg daily, atorvastatin 10 mg daily, ferrous sulphate 324 mg daily an...
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Metabolic acidosis is defined as a low arterial blood pH in conjunction with a reduced serum HCO3concentration. Respiratory compensation results in a decrease in PaCO2. A low serum HCO3concentration alone is not diagnostic of metabolic acidosis because it also results from the renal compensation to chronic respiratory alkalosis. Measurement of the arterial pH differentiates between these two po...
متن کاملNormal "anion gap" (hyperchloremic) acidosis.
Hyperchloremic metabolic acidosis in which the anion gap is within normal limits is a common condition in the hospital population, and often presents a difficult diagnostic problem. We describe nine typical cases of this disorder and suggest a logical approach to its evaluation.
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ژورنال
عنوان ژورنال: Canadian Medical Association Journal
سال: 2007
ISSN: 0820-3946,1488-2329
DOI: 10.1503/cmaj.061057