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}}


{{SI}}
==[[Hyperchloremic acidosis overview|Overview]]==


==[[Hyperchloremic acidosis historical perspective|Historical Perspective]]==


Usually the HCO<sub>3</sub><sup>-</sup> lost is replaced by a chloride anion, and thus there is a normal anion gap. Urine anion gap is useful in evaluating a patient with a normal anion gap. In normal anion gap acidosis, the increased anion is chloride, which is measured, so the anion gap does not increase. Thus, normal anion gap acidosis is also known as hyperchloremic acidosis.
==[[Hyperchloremic acidosis pathophysiology|Pathophysiology]]==


The mnemonic for the most common causes of a normal-anion gap metabolic acidosis is "DURHAM."
==[[Hyperchloremic acidosis causes|Causes]]==


* '''D'''- Diarrhea
==[[Hyperchloremic acidosis epidemiology and demographics|Epidemiology and Demographics]]==


* '''U'''- Ureteral diversion
==[[Hyperchloremic acidosis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


* '''R'''- Renal tubular acidosis
==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]]


* '''H'''- Hyperailmentation
==Treatment==
[[Hyperchloremic acidosis medical therapy|Medical Therapy]]


* '''A'''- Addison's disease, acetazolamide, ammonium chloride
====Contraindicated medications====
{{MedCondContrAbs|MedCond = Hyperchloremic acidosis|Diclofenamide|Methazolamide}}


* '''M'''- Miscellaneous (chloridorrhea, amphotericin B, toluene - toluene causes high anion gap metabolic acidosis followed by normal anion gap metabolic acidosis.
==Case Studies==
==See also==
[[Hyperchloremic acidosis case study one|Case#1]]
==Related Chapters==
*[[Anion gap]]
*[[Anion gap]]
*[[Metabolic acidosis]]
*[[Metabolic acidosis]]
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* {{DiseasesDB|11673}}
* {{DiseasesDB|11673}}
* [http://kidney.niddk.nih.gov/kudiseases/pubs/tubularacidosis/ NIH - Renal Tubular Acidosis]
* [http://kidney.niddk.nih.gov/kudiseases/pubs/tubularacidosis/ NIH - Renal Tubular Acidosis]


[[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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