Sajan Patel

All articles by Sajan Patel

Urinalysis & Micro

Urinalysis & Micro I. Problem/Condition. Urine studies can provide a wide variety of information, including the etiology of acute kidney injury (AKI) and the presence of a urinary tract infection (UTI). It is relatively inexpensive and can even be performed by the testing physician. Specific urine tests that are useful in the inpatient setting include:…

Metabolic Acidosis; Gap Positive

I. Problem/Condition. Metabolic acidosis is defined by low serum pH (less than 7.35-7.45) and low serum bicarbonate. It occurs by one of three major mechanisms: 1. Increased endogenous acid (i.e., lactic acidosis, diabetic ketoacidosis). Continue Reading 2. Decreased renal acid excretion (i.e., renal failure). 3. Loss of bicarbonate (i.e. diarrhea). In determining the underlying etiology…

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