Hyperchloremic acidosis: Difference between revisions

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


==Overview==
==[[Hyperchloremic acidosis overview|Overview]]==
Usually the HCO<sub>3</sub><sup>-</sup> lost is replaced by a chloride anion, and thus there is 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. Urine anion gap is useful in evaluating a patient with a normal anion gap.
==Causes==
The mnemonic for the most common causes of a normal-anion gap metabolic acidosis is "DURHAM."


* '''D'''- Diarrhea
==[[Hyperchloremic acidosis historical perspective|Historical Perspective]]==


* '''U'''- Ureteral diversion
==[[Hyperchloremic acidosis pathophysiology|Pathophysiology]]==


* '''R'''- Renal tubular acidosis
==[[Hyperchloremic acidosis causes|Causes]]==


* '''H'''- Hyperailmentation
==[[Hyperchloremic acidosis epidemiology and demographics|Epidemiology and Demographics]]==


* '''A'''- Addison's disease, acetazolamide, ammonium chloride
==[[Hyperchloremic acidosis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


* '''M'''- Miscellaneous (chloridorrhea, amphotericin B, toluene - toluene causes high anion gap metabolic acidosis followed by normal anion gap metabolic 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]]


==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==
==Related Chapters==
*[[Anion gap]]
*[[Anion gap]]
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[[Category:Electrolyte disturbance]]
[[Category:Electrolyte disturbance]]
[[Category:Nephrology]]
[[Category:Nephrology]]
[[Category:Signs and symptoms]]
 


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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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