Hypochloremia: Difference between revisions
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==Overview== | |||
'''Hypochloremia''' (or '''Hypochloraemia''') is an [[electrolyte disturbance]] whereby there is an abnormally depleted level of the [[chloride]] ion in the [[blood]]. It rarely occurs in the absence of other abnormalities. If it occurs together with [[Alkalosis|metabolic alkalosis]] (decreased blood acidity) it is often due to [[vomiting]]. | '''Hypochloremia''' (or '''Hypochloraemia''') is an [[electrolyte disturbance]] whereby there is an abnormally depleted level of the [[chloride]] ion in the [[blood]]. It rarely occurs in the absence of other abnormalities. If it occurs together with [[Alkalosis|metabolic alkalosis]] (decreased blood acidity) it is often due to [[vomiting]]. | ||
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Primary anion of [[extracellular fluid]] compartment; aids in maintenance of acid-base balance. | Primary anion of [[extracellular fluid]] compartment; aids in maintenance of acid-base balance. | ||
== Differential Diagnosis of Causes of | == Causes== | ||
===Complete Differential Diagnosis of the Causes of Hypochloremia=== | |||
In alphabetical order <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref> | In alphabetical order <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref> | ||
* [[ | * [[ACTH]]-secreting tumors | ||
* [[Adrenal insufficiency]] | * [[Adrenal insufficiency]] | ||
* [[Bulimia Nervosa]] | * [[Bulimia Nervosa]] | ||
Line 38: | Line 41: | ||
* [[Syndrome of inappropriate antidiuretic hormone secretion]] ([[SIADH]]) | * [[Syndrome of inappropriate antidiuretic hormone secretion]] ([[SIADH]]) | ||
* [[Vomiting]] | * [[Vomiting]] | ||
===Complete Differential Diagnosis of the Causes of Hypochloremia=== | |||
(By organ system) | |||
{|style="width:80%; height:100px" border="1" | |||
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | |||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Chemical / poisoning''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Dermatologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Drug Side Effect''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Ear Nose Throat''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Endocrine''' | |||
|bgcolor="Beige"| [[ACTH]]-secreting tumors | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Environmental''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Gastroenterologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Genetic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Hematologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Iatrogenic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Infectious Disease''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Musculoskeletal / Ortho''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Neurologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Nutritional / Metabolic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Obstetric/Gynecologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Oncologic''' | |||
|bgcolor="Beige"| [[ACTH]]-secreting tumors | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Opthalmologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Overdose / Toxicity''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Psychiatric''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Pulmonary''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Renal / Electrolyte''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Rheum / Immune / Allergy''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Sexual''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Trauma''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Urologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Miscellaneous''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|} | |||
==References== | ==References== |
Revision as of 16:49, 26 January 2009
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Overview
Hypochloremia (or Hypochloraemia) is an electrolyte disturbance whereby there is an abnormally depleted level of the chloride ion in the blood. It rarely occurs in the absence of other abnormalities. If it occurs together with metabolic alkalosis (decreased blood acidity) it is often due to vomiting.
Normal values of Chloride: 99-111 mEq/L (99-111 mmol/L)
Primary anion of extracellular fluid compartment; aids in maintenance of acid-base balance.
Causes
Complete Differential Diagnosis of the Causes of Hypochloremia
- ACTH-secreting tumors
- Adrenal insufficiency
- Bulimia Nervosa
- Burns
- Congestive Heart Failure
- Cushing's Syndrome
- Diabetic coma
- Diarrhea
- Drugs
- Excessive sweating
- Gastric suction
- Hyperaldosteronism
- Hyponatremia
- Overconsumption of licorice
- Pseudohyponatremia
- Renal failure
- Respiratory losses
- Salt-losing nephritis
- Syndrome of inappropriate antidiuretic hormone secretion (SIADH)
- Vomiting
Complete Differential Diagnosis of the Causes of Hypochloremia
(By organ system)
Cardiovascular | No underlying causes |
Chemical / poisoning | No underlying causes |
Dermatologic | No underlying causes |
Drug Side Effect | No underlying causes |
Ear Nose Throat | No underlying causes |
Endocrine | ACTH-secreting tumors |
Environmental | No underlying causes |
Gastroenterologic | No underlying causes |
Genetic | No underlying causes |
Hematologic | No underlying causes |
Iatrogenic | No underlying causes |
Infectious Disease | No underlying causes |
Musculoskeletal / Ortho | No underlying causes |
Neurologic | No underlying causes |
Nutritional / Metabolic | No underlying causes |
Obstetric/Gynecologic | No underlying causes |
Oncologic | ACTH-secreting tumors |
Opthalmologic | No underlying causes |
Overdose / Toxicity | No underlying causes |
Psychiatric | No underlying causes |
Pulmonary | No underlying causes |
Renal / Electrolyte | No underlying causes |
Rheum / Immune / Allergy | No underlying causes |
Sexual | No underlying causes |
Trauma | No underlying causes |
Urologic | No underlying causes |
Miscellaneous | No underlying causes |
References
External links
Template:Fluid, electrolyte, acid base metabolic pathology
Template:Endocrine, nutritional and metabolic pathology