Metabolic Acidosis Explained CLEARLY (Anion Gap vs. Non Anion Gap)

[@Medcram]

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[@earnestthompson5136]

I remember back in the day how we med students labored over this . It would have been much smoother if Dr. Seheult had been our teacher! Man did we laboooooR over this stuff. Oh for a time machine! Thank you Dr. S !

[@dailydoseofmedicinee]

The most common causes of hyperchloremic metabolic acidosis are gastrointestinal bicarbonate loss, renal tubular acidosis, drugs-induced hyperkalemia, early renal failure and administration of acids.👍

[@greensahuaro2834]

Thanks you!

[@LunaSimtea]

THANK YOU !!! This is the absolutely clearest explanation of this subject I have ever encountered. It beats my lectures in Med School hands down.

[@Medcram]

Thank you for your feedback

[@dsmj7389]

I guess it's back to the original purpose of the channel for now. I'll still keep the notifications on.

[@Medcram]

Thanks, we plan to do more COVID-19 updates

[@dodaexploda]

I watched half of this video wonering what it had to do with covid19. "Oh, it must be a setup for the next video" I thought.

[@eddystar9816]

@@Medcram Could you please do an update on this! Looks very promising and a game changer! news.yahoo.com/antibody-could-neutralise-coronavirus-found-150725935.html

[@MegaJasonic]

Glad there are experts that have a handle on this. This is not easy stuff.

[@cathie9614]

Never went to college but I do enjoy your videos. I can figure out what you're talking about. 👍

[@MedNerdDrWaqasFazal]

Thank you for such an informative video. I hope one day my videos will be as good as yours ❤️😊

[@jhern083]

This right here, THANK YOU MAN

[@Medcram]

Thank you for your feedback

[@concernedcitizen780]

Bravo! Taking a complicated topic and making it understandable. Thank you.

[@Medcram]

You’re welcome. Thanks for your comment

[@sapelesteve]

That brief presentation was really outstanding Doc! Concise & well explained. Thanks....👍👍

[@faridabdous5808]

What a great teacher you are. Thank you so much.

[@mitch9224]

So glad to see a new, more 'general' medical video 😄. SARSCoV2 updates were the most helpful out of all other sources in my opinion, but these more regular videos are also extremely educative :)

[@Medcram]

Thank you

[@HannesProducings]

Dear Dr. Schuelt, thank you for this amazing video. I have one question. Is the Spironolactone the cause of RTA type IV or are this two different entities? So if the cause of metabolic acidosis is spironolactone, can you say this is a RTA type IV or not? I'm making a case about a patient who has DM type II with nefropathie (creatinine is increased) and he also takes spironolactone and an ARB. He has a hyperK too. How can I know if this is caused by Spironolactone or ARB or RTA type IV?

[@Sarah-fd5iv]

Thank God. I’m so bored of COVID

[@tim2269]

Strong work as usual.Your absence had me worried.Hope you had some good RR.

[@PeterSHenry]

Amazing work. Keep going, doc! Greetings from a med student in Egypt. you spared me many hours of listening to my lecturers.

[@mikeruiz1107]

Where are the covid updates 😭

[@CarolPorter]

I miss Dr. Seheult's COVID-19 updates! Please publish another very soon! Thank you.

[@katylb658]

What an amazing explanation thank you! I'm trying to understand how to differentiate between nagma and AGMA when keto diet (AGMA), Diamox (usually nagma I think?) And drospirenone (holds onto potassium) all come into play together.

[@michelfeinstein]

Aren't there any updates on the COVID-19 studies? Nothing on NAC? Inhaled corticoides?

[@Bill.R.124]

Complex, but I've never seen a visual representation of the "gap" that everyone's always talking about. I teach my nursing students DKA where the obsession is "closing the gap" with an insulin drip, and how even if the BS is almost normal, we keep it going (and add dextrose to the maintenance fluid). This is helpful to grasp these concepts a little better.

[@enricoalexixmachine9399]

hi very, very, very good tutorials.... what kind of software use to write in this tutorial. thanks

[@yasmine4754]

I finally, finally understand the anion gap. The only thing I don't understand is in the non anion gap metabolic acidosis, when you lose HCO3, how do you gain chloride, where is it coming from?

[@minhthanhtran1015]

normal saline

[@yasmine4754]

@@minhthanhtran1015 Ah, okay, thank you!

[@suecanada2313]

??? why no COVID-19 ??? is everyone OK, sure hope so ! Afraid for you in California, Orgeon and Washington states. hugs and good wishes to you all from Canada

[@Medcram]

We are based in Oregon and California! Thank you for the good wishes - We are posting a COVID update today.

[@levihoffman4161]

this deserves a million likes! so much clearer.

[@jameslin5678]

Why is losing NaHCO3 synonymous to gaining HCl? If the kidneys have trouble reabsorbing bicarb, where does the extra Cl- come from to cover that gap? Is it because the kidneys are compensating by reuptaking more Cl- for the lost bicarb? Thanks!

[@sonnguyen-bk8jw]

The disgusted summer occasionally use because barbara bizarrely jog until a five syrup. finicky, bumpy planet

[@yedildyussembayev3698]

Thumb up If this intro make you to fell: "I am about to see COVID-19 updates" more than educational video

[@اللهالمستعان-ر8ف]

Great Clear explanation شكرااا shokran Thank you from egypt

[@asraaalsalih3209]

Thank you 🙏🏻🙏🏻

[@andrewokuni7487]

What happens in the glomerulus and hypothalamus during AGMA?

[@jlk9239]

great video and by far the best video I have found on this topic so far. what I just don't want to understand so far: why is the loss of sodium bicarbonate the same as the gain of hydrochloric acid? thank you and greetings from Germany!

[@OrganizeMyDad]

I have Multiple Sclerosis. There are some vaccines I can’t take. Do we know if people with compromised immune systems will be able to take this one or one of the candidates?

[@mirmirjan277]

omg. this is absolutely amazing. the way he explains it is absolutely incredible. thank you so much

[@TheTwick]

Thank you. You didn’t talk about blood pH. [at least I don’t remember - maybe I should take the whole course?]

[@Sharonmxg]

so helpful to hear the big med terms pronounced. I usually just read them and tend to speak them with incorrect pronunciation.

[@SanjeevKumar-lt1wc]

Thank you Dr.

[@areejbinsalman5241]

really thank you for this explanation

[@Medcram]

Thanks for your comment

[@hudabadran1716]

Excellent

[@caesarahad7706]

Super sir!

[@BoredT-Rex]

thank you so much. ive had so many questions and this cleared them up. Yay

[@greensahuaro2834]

Many thanks Doctor! Your teaching is awesome!

[@micalukic9770]

This is awesome! Learned so much!

[@Medcram]

Good to hear, thanks

[@itunnu5103]

Thank you for this video. You made it very easy to understand.

[@BR-hi6yt]

I never understood all that stuff. Now I understand better.

[@bourgeoisie6076]

Yeah, biochemistry isn't kicking in..

[@jimmccandless4307]

The question on the table is? Those who have tested positive for coronavirus that have antibodies and are asymptomatic how long can they still transmit the covid-19 virus !

[@medicalbiochemistry_]

👍👍

[@josiesoriano]

Thank you

[@toniencheff4046]

Dear Dr. Schuelt, You are amazing! Could you shine light on my point of confusion? In the venous BMP, carbon dioxide and bicarbonate are counted as the same thing, whereas in the arterial blood gas, excess carbon dioxide is a sign of acidosis, and bicarbonate is a sign of alkalosis.

[@Medcram]

The bmp co2 is measured bicarbonate. On a blood gas the bicarbonate is calculated using an equation.

[@AS-oz6ep]

Are you still doing COVID-19 updates? There hasn't been one in almost 2 weeks (used to be almost daily!). Is there nothing new to discuss?

[@stormmtb5068]

That’s kind of an update in and of itself lol.

[@PilarAYah]

Where can I find the rest of the videos?

[@ayawaridania]

👏🏻👏🏻👏🏻👏🏻👏🏻

[@doctorfaheemkhanbalouch6322]

🫡🫡🙏🏻👍👍

[@angelagarner1904]

Very interesting and informative as usual 😀 If you ever had time I would love to hear about epigenetics, there are so many fascinating things to learn about the body! Take care

[@dalalmohd2164]

you are a saver , Thanks

[@theresageiger584]

HOW DO YOU GET BETTER

[@thelostant]

Missing my Rona updates...

[@ventasyiem4956]

Thank you 🙏

[@levehajdu5748]

It's sad seeing a video like this! It shows how doctors have lost all diagnostic observation skills and are totally dependent on painful and uncomfortable tests. It's really sad to see how far the profession has fallen and been dumb down.

[@geilkaushik]

Thank you for the crisp explanation