equatios Flashcards
normal AG
8-12
stool osmotic gap
290-2(stool Na+stool K)
how to interpret stool osmotic gap
under 50 is secretory, over 100 is osmotic
causes of secretory diarrhea
bacterial toxins, VIPoma, gastrónoma, thyroid medullary cancer
causes of osmotic diarrhea
celia, whipple, pancreatic insufficiency, laxative abuse, lactose intolerance aka malabosprtion
SAAG calculate
serum albumin- ascites albuin
interpreting SAAG
<1.1 is NOT related to portal HTN, >1.1 is portal HTN
4 causes of SAAG <1.1
nephrotic TB malignancy, peritoneal carcinomatosis
causes of SAAG >1.1
pre sinusoidal (splenic v or portal v thrombosis, schistosomiasis) sinusoidal (cirrhosis ) and post sinusoid (R heart failure budd chair, constrictive pericarditis)
serum osm formula
(2*serum Na) + (BUN/2.8)+ (glucose/18)
osmolol gap
measured- calculated
normal osmolol gap
under 10
what could cause a high osmolol gap
mannitol, ethylene glycol, sorbitol, PEG< methanol
how to calculate water deficicit
total body water * ((serum Na/140)-1)
what is total body water
60% of total body weight