Non-Anion Gap Metabolic Acidosis Question
A 45 yom visits for routine exam. PmHx includes DM1 and GERD. His temp 37.0ºC (98.6ºF), pulse 65, respirations 20, and bp 126/62. PE shows no abnormalities. Labs:
PCO2 35 mm Hg
Na+ 144 mEq/L
Cl- 115 mEq/L
HCO3- 20 mEq/L
BUN 12 mg/dL
Creatinine 1.0 mg/dL
Which of the following causes can lead to this patient’s abnormal blood pH?
Ans: Diarrhea... what differentiated diarrhea from vomiting if they both present with a non-anion gap metabolic acidosis with hypokalemia?
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