Friday, February 19, 2010
CLINICAL CASE 4
Which one of the following is not a cause of elevated serum anion gap?
Posted by Kenar D Jhaveri( kidney 007) at 3:43 PM
Labels: Clinical Case, electrolytes
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T-diddy speaks, and the crowd hears:ReplyDelete
great post. i'm glad you brought this topic up. there's a great article on serum anion gap from CJASN. You can click here to get it if you wanna.
Very interesting! Triple acid-base disorders always fascinate me.ReplyDelete
We have been using either ‘MUD-PILES’ or ‘KUSMALE’ as mnemonics for causes of anion gap metabolic acidosis ever since we learned about the anion gap. It is like they were handed over to us by Mother Nature herself! It is only when clinicians come up with newer ideas that we realize that they were created by mortal beings in the first place.
Dr. Ankit Mehta and Dr. Joshua Emmett proposed a new mnemonic GOLD MARK, keeping in view the commoner causes of anion gap acidosis and disregarding the rare ones, specifically paraldehyde, isoniazid and iron. It was published in the Lancet in September 2008.
Dr. Topf, on his blog ‘Precious bodily fluids’, has also shared the story about how the mnemonic came into being. Interested? Here’s the link:
thanks Tejas and Ritu for your commentsReplyDelete