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Qaagi - Book of Why

Causes

Effects

Which of the following types of renal failurecan causeanion gap acidosis

the identity of anionscontributeto the elevated anion gap

an increase in unmeasured anions which may be any of the following : “ MUD PILES(passive) is caused byL Elevated anion gap

the identity ofanionscontributeto the elevated anion gap

the testes(passive) caused byanion gap

Respiratory alkalosis ... adults Elevated plasma salicylate levels Ethylene glycol / methanol poisoning Or other organic alcoholscauseanion gap acidosis

Clinically significant poisoning with ethylene glycol or methanolwill invariably causeanion gap elevation

However , some patients in whom the diagnosis of type IV RTA is considered have CKD that is sufficiently advanced to result in the accumulation of endogenous metabolic acids ( eg , phosphate and urateleadingto a mild elevation of the anion gap

the excessive increase in plasma chloride and subsequent renal excretion of bicarbonate(passive) caused byanion gap

something elsewould causeanion gap acidosis

metabolic acidosis(passive) created bymetabolic acidosis

from the release of lactate , uric acid , and other organic acids from muscle cellsresultfrom the release of lactate , uric acid , and other organic acids from muscle cells

thorough evaluation for alternative etiologies ( e.g. including measurement of lactate and ketoacid levelsshould promptthorough evaluation for alternative etiologies ( e.g. including measurement of lactate and ketoacid levels

clinicians to measure toxic alcohols , including EG , which was elevated at 19mg / dL.ledclinicians to measure toxic alcohols , including EG , which was elevated at 19mg / dL.

the physicianshould promptthe physician

toxicologic analysis for illicit drugs of abuse , salicylates , acetaminophen , and ethanolpromptedtoxicologic analysis for illicit drugs of abuse , salicylates , acetaminophen , and ethanol

M ethanol P araldehydelikely causesM ethanol P araldehyde

no anion gap H in HARDASS hyperalimentation , or parenteral feeding 2 S 's of HARDASS S of MUDPILES K levels of RTAs Type 1 and 2 are hypoKcausesno anion gap H in HARDASS hyperalimentation , or parenteral feeding 2 S 's of HARDASS S of MUDPILES K levels of RTAs Type 1 and 2 are hypoK

from overproduction and accumulation of ketone bodies ( 20resultingfrom overproduction and accumulation of ketone bodies ( 20

The narrator suggeststhat in a world where material possessions are scarce ownershipof songs and stories is crucialcausesThe narrator suggeststhat in a world where material possessions are scarce ownershipof songs and stories is crucial

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