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Metabolic acidosis (defined as a serum bicarbonate <20 mEq/L) can be due to a primary metabolic cause, or it can represent a secondary metabolic compensation for a primary respiratory process. These processes can be distinguished by evaluation of a venous (or arterial) blood gas. An>... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... 1. Fauci AS, et al (eds): Harrison's Principles of Internal Medicine, 14/e. New York: McGraw-Hill, 1998.
2. Becker KL (ed): Principles and Practice of Endocrinology and Metabolism, 2/e. Philadelphia: JB
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... Increased Anion Gap
Renal failure, acute or chronic
Ketoacidosis
Diabetic
Alcoholic
Starvation
Lactic acidosis (see 1-E)
Toxins
Aspirin
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... Chloride-Responsive (Urine Cl – <10 mEq/L)
Vomiting, nasogastric suction
Gastric drainage or fistula
Diuretics
Posthypercapnic state
Villous adenoma of colon
Congenital>
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... Metabolism is the physiologic process that allows cells to transform food into energy and continually rebuild body cells. Metabolism has two phases: catabolism and anabolism. In catabolism, the energy-producing phase of metabolism, the body breaks down large food... Carbohydrates: Primary energy source ... Fats: Catabolism and anabolism ... Proteins: Anabolism ... Fluid and electrolyte balance ... Regulation of pH ... Assessing homeostasis ... Pictures
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... Metabolic acidosis is a physiologic state of excess acid accumulation and deficient base bicarbonate produced by an underlying pathologic disorder. Symptoms result from the body’s attempts to correct the acidotic condition through compensatory... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... A clinical state marked by decreased amounts of acid or increased amounts of base bicarbonate, metabolic alkalosis causes metabolic, respiratory, and renal responses, producing characteristic symptoms (most notably hypoventilation). This condition is always secondary to... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Metabolic syndrome — also called syndrome X, insulin resistance syndrome, dysmetabolic syndrome, and multiple metabolic syndrome — is a cluster of conditions characterized by abdominal obesity, high blood glucose (Type 2... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Author:
Nickie Niforatos, MD
What to Do - Interpret the Data
Some diets are medications, too.
Aclinicianshouldneverunderestimatetheroleofdietinachild'shealth.
A child's diet must meet basic metabolic functions... Suggested Readings
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... Ralph J. DeBerardinis, MD, PhD
Sulagna C. Saitta, MD, PhD
Metabolic Diseases in Acidotic Newborns - BASICS
Metabolic Diseases in Acidotic Newborns - description
Inborn errors of metabolism are... Metabolic Diseases in Acidotic Newborns - DIAGNOSIS ... Metabolic Diseases in Acidotic Newborns - TREATMENT ... Metabolic Diseases in Acidotic Newborns - FOLLOW UP ... Metabolic Diseases in Acidotic Newborns - bibliography ... Metabolic Diseases in Acidotic Newborns - CODES ... Metabolic Diseases in Acidotic Newborns - FAQ
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... Ralph J. DeBerardinis, MD, PhDSulagna C. Saitta, MD, PhD Metabolic Diseases in Hyperammonemic Newborns - BASICS Metabolic Diseases in Hyperammonemic Newborns - description Inborn errors of metabolism are inherited... Metabolic Diseases in Hyperammonemic Newborns - DIAGNOSIS ... Metabolic Diseases in Hyperammonemic Newborns - TREATMENT ... Metabolic Diseases in Hyperammonemic Newborns - FOLLOW UP ... Metabolic Diseases in Hyperammonemic Newborns - bibliography ... Metabolic Diseases in Hyperammonemic Newborns - CODES ... Metabolic Diseases in Hyperammonemic Newborns - FAQ
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... Ralph J. DeBerardinis, MD, PhDSulagna C. Saitta, MD, PhD Metabolic Diseases in Hypoglycemic Newborns - BASICS Metabolic Diseases in Hypoglycemic Newborns - description Inborn errors of metabolism are inherited defects... Metabolic Diseases in Hypoglycemic Newborns - DIAGNOSIS ... Metabolic Diseases in Hypoglycemic Newborns - TREATMENT ... Metabolic Diseases in Hypoglycemic Newborns - FOLLOW UP ... Metabolic Diseases in Hypoglycemic Newborns - bibliography ... Metabolic Diseases in Hypoglycemic Newborns - CODES ... Metabolic Diseases in Hypoglycemic Newborns - FAQ
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... George A. Datto, III, MD
Sandra Gibson Hassink, MD
Metabolic Syndrome - BASICS
Metabolic Syndrome - description
A cluster of metabolic disorders that is the antecedent to cardiovascular disease and type 2 ... Metabolic Syndrome - DIAGNOSIS ... Metabolic Syndrome - TREATMENT ... Metabolic Syndrome - FOLLOW UP ... Metabolic Syndrome - bibliography ... Metabolic Syndrome - CODES ... Metabolic Syndrome - FAQ
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