almina
Forum Senior
Topics: 34
Posts: 99
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Acidosis. What is false?
A. NH3synthesis increases
B. new HCO3 reabsorbtion increases
C. NH4 excretion increases
D. Titrable acid excretion increses
E. Serum anion gap decreases
What can lead to metabolic acidosis?
A. Guillan-Barre
B. salicylate intoxication
C. opiates
E. Hyperaldosteronism
F. psychogenic
G. loop diuretics
H. thiaside
I. vomiting
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| mani
Forum Guru
Topics: 104
Posts: 1,403
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1 E
2 B
not sure, plz comment
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| Sakaki-
Forum Senior
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Yeah, B looks like the only one out of that lot that would could lead to metabolic acidosis (through the formation of salicylic acid, and the uncoupling of oxidative phosphorylation).
Acidosis is divided into normal anion gap (hyperchloremic) and increased anion gap (and will not lead to a decreased anion gap).
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| rida
Forum Guru
Topics: 109
Posts: 721
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MUDPILES is the pnuemonic in first aid for increased anion gap metabolic acidosis, and S stands for salicylate tocxicity.
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| DiaHuq
Forum Elite
Topics: 46
Posts: 402
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at first glance,salicylate poisoning.I agree.But i remember something in class,where vomiting from stomach causes metabolic alkalosis while if the vomiting is from small intestines(like from intestinal obstruction or small intestinal atresia)it can cause metabolic acidosis.
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| Sakaki-
Forum Senior
Topics: 1
Posts: 238
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I agree, since the alkaline secretions present in the duodenum will be lost in the second instance, possibly causing a metabolic acidosis instead (though I am not too sure how frequently this happens since gastric secretions are lost simultaneously).
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