Anion Gap and Osmolar Gap (High)

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DDx

Toxicological

  1. Methanol
  2. Ethanol glycol
  3. Aspirin (Salicylate) Toxicity
  4. Iron
  5. INH
  6. Paraldehyde
  7. Alcoholic Ketoacidosis
  8. Inhalants - CN, CO, Hydrogen Sulfide
  9. Toluene

Non-Toxicological

  1. Lactic Acidosis
  2. DKA
  3. Uremia

CAT MUDPILERS

  • C-Cyanide
  • A-ASA, Alcohol
  • T-Toluene
  • M-Methanol, Metformin
  • U-Uremia
  • D-DKA
  • P-Paraldehyde, Post-ictal lactic acidosis (transient, 60-90 min), Phenformin (withdrawn in 1970s)
  • I-Iron, INH, Inhalents, Inborn Errors
  • L-Lactic Acidosis
  • E-Ethylene glycol, Ethanol
  • R-Rhabdomyolysis
  • S-Salicylates, Solvents, Starvation

See Also

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