Medical Acid Base and ABGs Explained Clearly by MedCram.com | 5 of 8

[@joerobinson3045]

Dear Dr. Seheult: You have lowered my stress as I prepare for a two day intense internal medicine evaluation in 2 weeks. I am a board certified anesthesiologist switching into geriatric medicine at a nursing home. Thank you.

[@atushalipuria]

in coming times this wud be the most sought out lectures...!! keep up the good work sir...!!

[@ayodejimakinwa5169]

This is fantastic. You've certainly simplified it

[@pratiikkaushik8285]

Two people accidentally hit the thumbs down button.

[@rdseheult]

if you mean what if the delta gap and bicarb added is between 22 and 26? Then the answer is that there is no other metabolic acid base problem going on or, if there is, then it is a non anion gap metabolic acidosis and a metabolic alkalosis of equal magnitude canceling each other out as far as bicarb is concerned.

[@Issaq100]

great and easy to understand explaination. Thanks a lot Dr. Roger for making things simple

[@chungseng4155]

MED~ Cram..( i heard CRAB all the time)~ ... always got me :D thank you so much for all the videos!!!!

[@alihatam3916]

very nice lecture. Could you please cover potassium disturbances too?

[@ST-dw7xm]

I think you meant loss of bicarb in Type 2 RTA

[@amirrezaheydari6141]

thank you the video was really useful

[@davidhersey1577]

Wonderful series of videos!

[@Medcram]

David Hersey thanks for the feedback

[@Safeworld40]

Great work, logical explaination of a tough object

[@dylangrieveable]

Excellent video set- well explained- thanks for taking the time.

[@saikumar802]

You r awesome sir ...thank u soo much .......

[@riccardorizzo380]

is it not type 2 renal tubular acidosis because you have impaired HCO3 reabsorption in PCT?

[@ivanavujica1774]

Hi. How can we identify orimary disorder when ph is normal? For example, we have normal pH, low pCO2 and low bicarbonate. Is it compensated respiratory alkalosis or compensated metabolic acidosis? Thank you!

[@hassinayazid99]

RTA type 2 not 1 because in 1 we have a deficiency in the secretion of H+ 2 deficiency in reabsorption of HCO3-( Fanconi syndrome)

[@lisawu7198]

super great! Thank you

[@jeffreymartin2010]

"If you have a delta gap, number one, you can take it to the bank that you've got a anion gap metabolic process. There is only one thing that causes an anion gap, and that is an anion gap metabolic acidosis, period." Should it be, "There is only one thing that causes a delta gap, and that is an anion gap metabolic acidosis, period?" I believe the anion gap caused by albumin is normal, right?

[@TAX86]

awesome dr! awesome!

[@0NauGhT0]

Did you mean Conn's Syndrome (primary hyperaldosteronism) causes metabolic alkalosis vs. Cushing's Disease ( Pituitary adenoma = release of excess ACTH)? Or does increased ACTH also affect aldosterone production?

[@Medcram]

+Yoda Darkness yes it can affect aldosterone production.

[@meloyellow6488]

Thank you !!!

[@zafarz8]

8:48 - what if anion gap + current HCO3 is between 24 and 26??

[@johnz1582]

it means most likely there is only one metabolic process going on

[@jussienfleurinor6609]

Super! thank you.

[@joaosoares3719]

The two types of metabolic acidosis should be "delta gap metabolic acidosis" and "non-delta gap metabolic acidosis". The delta gap defines them, not the anion gap!

[@Medcram]

+João Soares Anion gap is there automatically. Metabolic acidoses are typically divided into those that increase it (typically referred to as: anion gap metabolic acidosis, or high anion gap metabolic gap metabolic acidosis) and those that don't (normal anion gap metabolic acidosis, or non anion gap metabolic acidosis). The delta gap is a way of seeing if they coexist when there is a agma (also called high anion gap metabolic acidosis).

[@MaysYIsmail]

God bless u dr :)

[@neciromar2484]

skinny the time how pass when we see your lecture harry potter version lol

[@zafarz8]

22 and 26... sorry