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ALKALOSIS (INCREASED PH)

ALKALOSIS (INCREASED PH): Excerpt from Algorithmic Diagnosis of Symptoms and Signs

Ask the following questions:

  1. What is the bicarbonate level? If this is elevated, the patient has a metabolic alkalosis. If this is decreased, the patient has a respiratory alkalosis associated with salicylate intoxication or hyperventilation syndrome.
  2. Has the patient been vomiting? If so, look for gastric outlet obstruction, intestinal obstruction, and other causes of vomiting. If there is no history of vomiting, the alkalosis may be due to diuretics, Cushing's disease, or chronic antacid use.

DIAGNOSTIC WORKUP

The workup of alkalosis should include a CBC, chemistry panel, urinalysis, electrolytes, arterial blood gas analysis, flat plate of the abdomen, chest x-ray, and consultation with an endocrinologist.

 

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

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