Metabolic alkalosis laboratory findings: Difference between revisions

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Revision as of 04:46, 21 February 2021

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Marufa Marium, M.B.B.S [2]

Overview

Laboratory findings consistent with the diagnosis of Metabolic Alkalosis include ABG (pH >7.45, HCO3 >26 mEq/L, PCO2 compensates for increased HCO3 by decreasing.), high or low Serum aldosterone/Serum renin, and Urine analysis with Urine pH and high or low Urine chloride and sodium.

Laboratory Findings

Laboratory findings consistent with the diagnosis of Metabolic Alkalosis
- ABG (pH >7.45, HCO3 >26 mEq/L, PCO2 compensates for increased HCO3 by decreasing.)
- Basic metabolic panel showing electrolytes imbalance.
- Serum renin and aldosterone:

High Renin, High aldosterone:• Malignant hypertension • renovascular hypertension • Renin secretin tumor Low Renin, High aldosterone:• Aldosterone secreting tumor • Adrenal hyperplasia • Glucocorticoid remediable aldosteronism Low Renin, Low Aldosterone:• Licorice • Liddle's syndrome • Enzyme deficiency

- Urine analysis with Urine pH and Urine chloride and sodium: low urine Cl(• Gastric: Vomiting, NG suction • Lower bowel: Villous adenoma, chloridorrhea, laxative abuse), high urine Cl (• Non-reabsorbed ions: Penicillin • Impaired tubular transport: Loop and thiazide diuretics, Bartter's and Gitelman's disease, Hypomagnesaemia)

Some patients with Metabolic alkalosis may have severely reduced GFR with azotemia, which is usually suggestive of renal failure.

References

Template:WH Template:WS

@@ Line 2: / Line 2: @@
 {{Metabolic alkalosis}}
-{{CMG}}; {{AE}}
+{{CMG}}; {{AE}} {{MMT}}
 ==Overview==
-An elevated/reduced concentration of serum/blood/urinary/CSF/other [lab test] is diagnostic of [disease name].
+Laboratory findings consistent with the diagnosis of Metabolic Alkalosis include ABG (pH >7.45, HCO3 >26 mEq/L, PCO2 compensates for increased HCO3 by decreasing.), high or low Serum aldosterone/Serum renin, and Urine analysis with Urine pH and high or low Urine chloride and sodium.
-OR
-Laboratory findings consistent with the diagnosis of [disease name] include [abnormal test 1], [abnormal test 2], and [abnormal test 3].
-OR
-[Test] is usually normal for patients with [disease name].
-OR
-Some patients with [disease name] may have elevated/reduced concentration of [test], which is usually suggestive of [progression/complication].
-OR
-There are no diagnostic laboratory findings associated with [disease name].
 ==Laboratory Findings==
+*Laboratory findings consistent with the diagnosis of Metabolic Alkalosis
+**ABG (pH >7.45, HCO3 >26 mEq/L, PCO2 compensates for increased HCO3 by decreasing.)
+**Basic metabolic panel showing electrolytes imbalance.
+**Serum renin and aldosterone:
+High Renin, High aldosterone:• Malignant hypertension • renovascular hypertension • Renin secretin tumor
+Low Renin, High aldosterone:• Aldosterone secreting tumor • Adrenal hyperplasia • Glucocorticoid remediable aldosteronism
+Low Renin, Low Aldosterone:• Licorice • Liddle's syndrome • Enzyme deficiency
+**Urine analysis with Urine pH and Urine chloride and sodium: low urine Cl(• Gastric: Vomiting, NG suction • Lower bowel: Villous adenoma, chloridorrhea, laxative abuse), high urine Cl (• Non-reabsorbed ions: Penicillin • Impaired tubular transport: Loop and thiazide diuretics, Bartter's and Gitelman's disease, Hypomagnesaemia)
-*There are no diagnostic laboratory findings associated with [disease name].
+*Some patients with Metabolic alkalosis may have severely reduced GFR with azotemia, which is usually suggestive of renal failure.
-OR
-*An elevated/reduced concentration of serum/blood/urinary/CSF/other [lab test] is diagnostic of [disease name].
-*[Test] is usually normal among patients with [disease name].
-*Laboratory findings consistent with the diagnosis of [disease name] include:
-**[Abnormal test 1]
-**[Abnormal test 2]
-**[Abnormal test 3]
-*Some patients with [disease name] may have elevated/reduced concentration of [test], which is usually suggestive of [progression/complication].
 ==References==

Metabolic alkalosis laboratory findings: Difference between revisions

Revision as of 04:46, 21 February 2021

Overview

Laboratory Findings

References

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