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Altered mental status and low anion gap in a patient with sickle cell ...
A low anion gap or a zero anion gap is an uncommon clinical finding and . We present a very rare case of sickle cell anemia with coexisting multiple myeloma. . hyperkalemia, hypercalcemia and hypermagnesemia can also lower the AG.

Multiple Myeloma: Plasma Cell Disorders: Merck Manual Professional
Anion gap is sometimes low. Hypercalcemia . Treatment of complications ( anemia, hypercalcemia, renal insufficiency, infections, skeletal lesions). Treatment of .

Altered mental status and low anion gap in a patient ... - NCBI - NIH
Feb 20, 2012 . A low anion gap or a zero anion gap is an uncommon clinical finding and . We present a very rare case of sickle cell anemia with coexisting multiple myeloma. . hypercalcemia and hypermagnesemia can also lower the AG.

Respiratory Alkalosis: Acid Base Tutorial, University of Connecticut ...
. characterized by elevated arterial pH, hyperventilation resulting in a low pCO2 and a usually . Aspirin intoxication is an interesting cause of respiratory alkalosis which can also cause an elvated anion gap acidosis. . Severe anemia . Hypocalcemia typically results, due to an increase in albumin bound calcium and may .

Hyperchloremic Acidosis
Jan 4, 2012 . A low plasma bicarbonate (HCO3-) concentration represents, by . The initial differentiation of metabolic acidosis should involve a determination of the anion gap (AG). . in conditions associated with chronic hypocalcemia and secondary . sickle cell disease; and the use of lithium, triamterene, amiloride, .

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New tools for detecting occult monoclonal gammopathy, a cause of ...
Rapidly declining bone density or a low Z score on dual-energy x-ray . The typical features of multiple myeloma are hypercalcemia, renal insufficiency, anemia, . in the erythrocyte sedimentation rate or a low anion gap—trigger diagnostic .


Signs of hypocalcemia develop when ionized calcium is too low for normal muscle . The bicarbonate result and anion gap should be considered as well as the .

High ESR out of proportion to anemia. ? Abnormalities in the anion gap (low- cationic LC). ? Hypercalcemia hyperphosphatemia kidney failure. ? Hypercalcemia .

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Value of the Anion Gap in Clinical Diagnosis and Laboratory ...
anion gap, respectively. Theoretically, an increased anion gap may occur as tIie result of: (a) decreased unmeasured cations, as in hypokale- mia, hypocalcemia .

Oncologic Emergencies - Crashing Patient
Hyperuricemia, hyperphosphatemia (and 2nd hypocalcemia), hyperkalemia. . the patient will present with anemia, bone pain, hypercalcemia, and lytic bone lesions. . Other causes of low anion gap include lithium, hypoalbuminemia or .

Learn: Chronic Renal Failure (by jontiggerbatman) - Memorize.com ...
Normocytic anemia with corrected reticulocyte count < 3% (refer to Chapter 11) Primarily . Causes hypocalcemia, leading to decreased bone mineralization . Hyperkalemia and increased anion gap metabolic acidosis (refer to Chapter 4) .

Sodium thiosulfate, bisphosphonates, and cinacalcet for ...
(d) hypercalcemia, rhinorrhea, anion gap metabolic acidosis, headache. 6. Ms. JK is a 63-year-old female with stage four chronic kidney disease. She has a .

Anemia and Lower back pain - Symptom Checker - check medical ...
List of causes of Anemia and Lower back pain, alternative .

CWS Blood Chemistry Definitions
As with Hematocrit, it is an important determinant of anemia (decreased), . disease, inadequate iron intake, third-degree burns and edemas, and hypocalcemia. . The anion gap is used to measure the concentration of cations ( sodium and .

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Board Review: Nephrology
Once-daily administration of lower doses of these agents is initially indicated, as is measurement . Classically, hypercalcemia, severe anemia, and a low anion gap due to an increase in . cause this patient's low anion gap or hypercalcemia.

Renal Tubular Acidosis (RTA): Renal Transport Abnormalities ...
. Regulation and Disorders: Metabolic Acidosis) with a normal anion gap. . Usually low and decreased further by alkalinization . Sickle cell anemia . chronic hypocalcemia with secondary hyperparathyroidism, kidney transplantation, heavy .

13 Anion Gap Metabolic Acidosis
Oct 26, 2009 . Anion gap metabolic acidosis is due to the addition of acid. . The increase in hydrogen then causes the following: Decreased bicarbonate. . severe respiratory failure with prolonged hypoxia, profound anemia and carbon monoxide . is that the bicarbonate can bind calcium, resulting in hypocalcemia .

Non-anion gap Metabolic Acidosis (NAGMA)
Dec 21, 2008 . These can be differentiated by measuring the anion gap. It is either chloride Non- Anion . Decreased 1,25 OH D leading to hypocalcemia and 2° HPTH. Not typically complicated by . Sickle cell anemia. Lupus. Triameterene .

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