A/B case studies Flashcards
1
Q
High AGAP MA possibilities
Non AGAP MA
A
inc endogenous acid production
Intox with endog acid
Loss of bicarb
Kidney is unable to excrete H+
Addition of Cl-containing acid
2
Q
UAG negative
UAG Positive
UAG calc
A
ne GUTive- likely HCO3 loss from GI track
problem resides in the kidney (RTA or renal failure)
UNa+UK-UCl
3
Q
Loss of acid molecule (H+ ions)
Vomiting vs other causes
A
Metabolic alkalosis
V- retention of Cl
Others- Cl would be high in urine
4
Q
Proximal tubule cause of MA symptoms
A
Non GAP Glucosuria Phosphaturia Amino aciduria Proteinuria
Think Fanconi
5
Q
Multiple Myeloma
A
Back pain Anemia Thrombocytopenia HyperCa PT injury
6
Q
High AGAP with Normal Gap
A
Endog admin acid + impeded H+ excretion
