Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm



Anion gap - MUDPILES: 

 - Methanol (formic acid) 

 - Uremia 

 - Diabetic ketoacidosis 

 - Propylene glycol 

 - Iron tablets or INH 

 - Lactic acidosis 

 - Ethylene glycol (-> oxalic acid) 

 - Salicylates (late) 



Normal anion gap - HARDASS: 

 - Hyperalimentation 

 - Addison disease 

 - Renal tubular acidosis 

 - Diarrhea 

 - Acetazolamide 

 - Spironolactone 

 - Saline infusion 



#Diagnosis #Acidosis #Alkalosis #Respiratory #Metabolic #Algorithm #MUDPILES #HARDASS



** GrepMed Recommended Text: Nephrology Secrets - https://amzn.to/2Z74DhY