Hyperchloremic acidosis: Difference between revisions

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{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.D.]] [mailto:psingh13579@gmail.com]
{{Hyperchloremic acidosis}}


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==[[Hyperchloremic acidosis overview|Overview]]==
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'''Hyperchloremic acidosis''' is a form of [[metabolic acidosis]] associated with a normal [[anion gap]], a decrease in plasma [[bicarbonate]] concentration, and in an increase in plasma [[chloride]] concentration (see [[anion gap]] for a fuller explanation).
==[[Hyperchloremic acidosis historical perspective|Historical Perspective]]==


===Causes===
==[[Hyperchloremic acidosis pathophysiology|Pathophysiology]]==
*[[Renal tubular acidosis]] failure of HCO<sub>3</sub><sup>-</sup> resorption(i.e. proximal renal tubular acidosis) or failure of H<sup>+</sup> secretion (ie in distal renal tubular acidosis)
*[[Renal failure]]
*[[Gastrointestinal]] loss of HCO<sub>3</sub><sup>-</sup> with [[diarrhea]] (vomiting will tend to cause hypochloraemic [[alkalosis]]).
*Ingestions
**[[Ammonium chloride]], [[Hydrochloric acid]]
**[[Hyperalimentation]] fluids (i.e. [[total parenteral nutrition]])


* Alcohol (such as ethanol) can effect anion gap by inducing [[alcohol dehydrogenase]] enzyme.
==[[Hyperchloremic acidosis causes|Causes]]==


==See also==
==[[Hyperchloremic acidosis epidemiology and demographics|Epidemiology and Demographics]]==
 
==[[Hyperchloremic acidosis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
 
==Diagnosis==
[[Hyperchloremic acidosis history and symptoms|History and Symptoms]] | [[Hyperchloremic acidosis physical examination|Physical Examination]] | [[Hyperchloremic acidosis laboratory findings|Laboratory Findings]] | [[Hyperchloremic acidosis ultrasound|Ultrasound]]
 
==Treatment==
[[Hyperchloremic acidosis medical therapy|Medical Therapy]]
 
====Contraindicated medications====
{{MedCondContrAbs|MedCond = Hyperchloremic acidosis|Diclofenamide|Methazolamide}}
 
==Case Studies==
[[Hyperchloremic acidosis case study one|Case#1]]
==Related Chapters==
*[[Anion gap]]
*[[Anion gap]]
*[[Metabolic acidosis]]
*[[Metabolic acidosis]]
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* [http://kidney.niddk.nih.gov/kudiseases/pubs/tubularacidosis/ NIH - Renal Tubular Acidosis]
* [http://kidney.niddk.nih.gov/kudiseases/pubs/tubularacidosis/ NIH - Renal Tubular Acidosis]


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[[Category:Electrolyte disturbance]]
[[Category:Electrolyte disturbance]]
[[Category:Nephrology]]
[[Category:Nephrology]]


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Latest revision as of 17:42, 8 June 2015

Template:DiseaseDisorder infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2]

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Hyperchloremic acidosis is considered an absolute contraindication to the use of the following medications:

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