Extreme Hypernatremia with Markedly Increased Anion Gap
نویسندگان
چکیده
منابع مشابه
Extreme Hypernatremia with Markedly Increased Anion Gap.
During a routine visit for nail care and diabetic neuropathy evaluation, laboratory tests were ordered for a 64-year-old man with a history of diabetes mellitus and hypertension. At the time, he had no symptoms of any acute problem. A serum separator tube was received and revealed sodium 162 mmol/L, potassium 3.8 mmol/L, chloride 88 mmol/L, CO2 20 mmol/L, and anion gap 54 mmol/L with normal blo...
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Rhabdomyolysis is a life-threatening condition that involves muscle cell destruction. Among its etiologies, severe hypernatremia is a less common cause. We report a teenage girl with congenital central hypoventilation syndrome and hypothalamus dysfunction syndrome who presented with extreme hypernatremia (sodium, 211 mmol/L) with rhabdomyolysis (creatine kinase, 32,850 U/L) and acute renal fail...
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We report a case of methanol intoxication, which was not distinguished from ethylene glycol intoxication during treatment. A 65-year-old man was transferred to our emergency department because of drowsiness and remarkable metabolic acidosis. He was intubated because his consciousness disturbance worsened. The diagnosis was suspected as methanol or ethylene glycol intoxication in addition to eth...
متن کاملPseudo-anion gap acidosis
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...
متن کاملAnion gap metabolic acidosis
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...
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ژورنال
عنوان ژورنال: Clinical Chemistry
سال: 2015
ISSN: 0009-9147,1530-8561
DOI: 10.1373/clinchem.2015.242313