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This teaching case discusses the evaluation of low plasma bicarbonate concentrations to differentiate between metabolic acidosis and chronic respiratory alkalosis using the urine anion gap (UAG). The case highlights the importance of assessing urine ammonium excretion and other laboratory values to avoid misdiagnosis and inappropriate treatment. The findings suggest that UAG can serve as a practical tool in clinical settings to aid in the diagnosis of acid-base disorders.

Author

Sylvain Lechevallier

Language

EN