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ACIDOSIS (DECREASED PH)

ACIDOSIS (DECREASED PH): Excerpt from Algorithmic Diagnosis of Symptoms and Signs

Ask the following questions:

  1. What is the blood glucose and serum acetone level? If these are increased, consider diabetic acidosis. If these are normal, consider other causes of acidosis.
  2. What is the bicarbonate level? An increased bicarbonate level points to respiratory acidosis, whereas a decreased bicarbonate level points to renal disease, diarrhea, and the use of certain diuretics.

DIAGNOSTIC WORKUP

This should include a CBC, chemistry panel, electrolytes, arterial blood gas analysis, serum and urine ketones, lactic acid, pulmonary function tests, EKG, and consultation with a pulmonologist or nephrologist.

 

Book Source Details

  • Book Title: Algorithmic Diagnosis of Symptoms and Signs
  • Author(s): R. Douglas Collins
  • Year of Publication: 2003
  • Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

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Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.




More About This Book:
Title: Algorithmic Diagnosis of Symptoms and Signs
Authors: R. Douglas Collins
Publisher: Lippincott Williams & Wilkins
Copyright: 2003
ISBN: 0-7817-3805-9

 » Next page: Metabolic Acidosis (In A Page: Pediatric Signs and Symptoms)

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