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Home
Case of the Month #44 High Anion Gap Metabolic Acidosis
Education
Published
12/10/2023
What are the causes of a high anion gap metabolic acidosis (HAGMA)?
Many causes of HAGMA exist. Two useful mnemonics to consider are:
‘GOLDMARK’
‘
MUDPILES’
G
lycols (propylene glycol, ethylene glycol)
M
ethanol
O
xoproline (chronic paracetamol use)
U
raemia
L
-lactate
D
iabetic ketoacidosis
D
-lactate (short bowel syndrome)
P
araldehyde
M
ethanol
I
ron, isoniazid
A
spirin
L
actic acid
R
enal failure
E
thanol, ethylene glycol, propylene glycol
K
etoacidosis
S
alicylates
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Calculate the corrected anion gap.
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What are the most likely causes of a HAGMA in this case?
