Metabolic acidosis history and symptoms: Difference between revisions
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| [[File:Siren.gif|30px|link=Metabolic acidosis resident survival guide]]|| <br> || <br> | |||
| [[Metabolic acidosis resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']] | |||
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| [[File:Physician_Extender_Algorithms.gif|88px|link=Metabolic acidosis physician extender algorithm]]|| <br> || <br> | |||
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{{Metabolic acidosis}} | {{Metabolic acidosis}} | ||
{{CMG}} | {{CMG}} | ||
==History and Symptoms== | |||
==History | |||
Symptoms are non-specific, and diagnosis can be difficult unless the patient presents with clear indications for [[arterial blood gas]] sampling. Symptoms may include: | Symptoms are non-specific, and diagnosis can be difficult unless the patient presents with clear indications for [[arterial blood gas]] sampling. Symptoms may include: | ||
* [[Abdominal pain]] | |||
* Altered [[appetite]] (either loss of or increased) | |||
* [[Altered mental status]] | |||
* [[Arrhythmia]]s ([[ventricular tachycardia]]), decreased response to [[epinephrine]]; both lead to [[hypotension]] ([[low blood pressure]]). | |||
* [[Chest pain]] | * [[Chest pain]] | ||
* [[ | * [[Decreased visual acuity]] | ||
* [[Headache]] | * [[Headache]] | ||
* [[ | * [[Kussmaul respiration]]s (deep rapid breathing, classically associated with diabetic [[ketoacidosis]]). Rapid deep breaths increase the amount of carbon dioxide exhaled, thus lowering the serum [[carbon dioxide]] levels, resulting in some degree of compensation. Over compensation to form a [[respiratory alkalosis]] does not occur. | ||
* [[ | * [[Lethargy]], [[stupor]], [[coma]], [[seizure]]s. | ||
* [[Muscle weakness]] and bone pains | |||
* [[Nausea]], [[vomiting]] | * [[Nausea]], [[vomiting]] | ||
* [[ | * [[Palpitations]] | ||
* [[Weight loss]] (longer term) | * [[Weight loss]] (longer term) | ||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Needs overview]] | |||
[[Category: | [[Category:Electrolyte disturbance]] | ||
[[Category:Inborn errors of metabolism]] | |||
[[Category:Medical tests]] | |||
[[Category:Laboratory Test]] | |||
[[Category:Nephrology]] | [[Category:Nephrology]] | ||
[[Category:Intensive care medicine]] | |||
[[Category:Emergency medicine]] | |||
Latest revision as of 17:50, 4 August 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
History and Symptoms
Symptoms are non-specific, and diagnosis can be difficult unless the patient presents with clear indications for arterial blood gas sampling. Symptoms may include:
- Abdominal pain
- Altered appetite (either loss of or increased)
- Altered mental status
- Arrhythmias (ventricular tachycardia), decreased response to epinephrine; both lead to hypotension (low blood pressure).
- Chest pain
- Decreased visual acuity
- Headache
- Kussmaul respirations (deep rapid breathing, classically associated with diabetic ketoacidosis). Rapid deep breaths increase the amount of carbon dioxide exhaled, thus lowering the serum carbon dioxide levels, resulting in some degree of compensation. Over compensation to form a respiratory alkalosis does not occur.
- Lethargy, stupor, coma, seizures.
- Muscle weakness and bone pains
- Nausea, vomiting
- Palpitations
- Weight loss (longer term)