UA

Question 1

UA reveals the following in a patient with metabolic acidosis with in increased anion gap:

• describe what you see;
• what is dx?
• how would the patient present?

-

Answer 1

Description: enveloped-shaped oxalate crystals;

Dx: oxalate crystal induced renal failure;

Pt presentation:
Suicidal pt
- via antifreeze
(ethylen glycol)
- will be intoxicated

Question 2

what is the tx for oxalate crystal induced renal failure?

Answer 2

Ethanol
or
Fomepizole
with immediate HD