Pseudo-Hypobicarbonatemia in Patients With Hypertriglyceridemia.
| Autor: | Good CJ; Family Medicine, Conemaugh Memorial Medical Center, Johnstown, USA., Sweedan YG; Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, USA., Kamat S; Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, USA., Giri C; Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Mar 08; Vol. 16 (3), pp. e55787. Date of Electronic Publication: 2024 Mar 08 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.55787 |
| Abstrakt: | Hypobicarbonatemia with an elevated anion gap on a metabolic panel is frequently the initial marker of a life-threatening condition such as diabetic ketoacidosis in a patient with epigastric pain. The two commonly used means of measuring bicarbonate levels are direct measurement from a metabolic panel and calculated measurement from arterial blood gas. In this case report, we would like to highlight a potentially serious deficiency in one of these two means and how it may lead to a dangerous misdiagnosis and subsequent mismanagement. We also shine a light on potential measures to counteract or prevent this undesirable outcome. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Good et al.) |
| Databáze: | MEDLINE |
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