Tuesday, September 3, 2013

Clinical Case 74: Answers and Summary

True or False: The standard measurement of anion gap will miss lactic acidosis if the lactate level is <10
  24 (72%)
  9 (27%)

Anion gap will miss lactic acidosis if lactate <10.
misses 50% lactate 5-10,
misses 80% if Lactate 3-5

Interesting, many cases would be missed if we just relied on the anion gap. Interestingly, such an old study done in 1990s: probably worth re looking at this phenomenon and why?

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