Ethylene glycol anion gap
WebSep 17, 2024 · Ethylene glycol (some assays will misidentify glycolic acid as lactic acid). Methanol. Ethanol poisoning. Cyanide, Carbon monoxide. … WebEthylene glycol poisoning should be strongly suspected in patients exposed to presumed ethylene glycol–containing products, patients inebriated without the smell of alcohol, …
Ethylene glycol anion gap
Did you know?
WebJun 19, 1997 · A 31-year-old woman came to the hospital with breathlessness, confusion, and a refractory anion gap metabolic acidosis; acute renal failure subsequently developed. Her blood ethylene glycol concentration was 390 mg/L, and she was treated with an intravenous ethanol infusion and hemodialysis. WebJan 1, 2024 · Ethylene Glycol Poisoning. Ethylene glycol is a colorless sweet tasting solvent which is used in antifreeze solutions. It is nontoxic itself but is converted to toxic …
WebOct 16, 2024 · It is a mixture of different glycol derivatives including ethylene glycol and diethylene glycol (DEG) which are metabolized into various toxic metabolites. ... which is projected as useful for ethylene glycol-poisoned patients with anion gap acidosis and low ethylene Glycol blood levels. Expand. 90. Save. Alert. Brake fluid toxicity feigning ... WebMay 27, 2024 · Isopropyl alcohol does not cause an elevated anion gap acidosis, retinal toxicity (as does methanol), or renal failure (as does ethylene glycol), although it does increase the osmol gap. (See 'Differential diagnosis' below.) This topic review will discuss the diagnosis and management of isopropyl alcohol intoxication.
WebThe osmolar gap (OSMOL GAP in Epic) uses formula (2) above. The unexplained osmolar gap (UOSMOL GAP in Epic) uses formula (4) above. High unexplained osmolar gaps indicate the possible presence of a toxic compound other than ethanol (ethylene glycol, methanol, acetone, isopropanol, or propylene glycol). EXAMPLE CASE: WebEthylene glycol poisoning classically presents as a metabolic acidosis with an increased anion gap. Metabolism of ethylene glycol to organic acids, and increased production of …
WebAn elevated anion gap results. In addition, ethylene glycol is osmotically active, thereby causing an increased measured osmolal gap. (Osmolality is the osmotic concentration, defined as the moles of solute divided by the number of particles into which it dissociates per kilogram of solvent.) ... an increased osmolal gap, elevated serum ...
WebJun 10, 2016 · The cardinal features of ethylene glycol toxicity are inebriation or encephalopathy, a wide anion gap metabolic acidosis, calcium oxalate crystal deposition in the urine, and acute kidney injury. Nearly all organ systems can be affected leading to multisystem organ failure [ 3 ]; calcium oxalate crystals can be found in the brain, lungs ... kynd hearts home healthcare llcWebThe toxic metabolite of ethylene glycol is oxalic acid, which binds to calcium, resulting in formation of calcium oxalate crystals in the proximal renal tubules. Treatment requires early intervention with fomepizole (4-methylpyrazole) or ethanol. All animals are susceptible to ethylene glycol toxicosis; however, dogs and cats are most commonly ... programs brotherWebDec 21, 2012 · Since DEG consists of two linked ethylene glycol molecules, it was originally thought that metabolism to ethylene glycol was responsible for toxicity. ... A presumptive diagnosis of DEG poisoning should be considered if an elevated anion gap metabolic acidosis or an elevated osmolal gap is present and there is a history or … programs boychicagokynd internationalWebPropylene glycol and ethylene glycol have similar physical properties and uses. Their chemical structures differ by only one methyl group (ethylene glycol = HOCH 2 CH 2 OH; propylene glycol ... Hyperosmolality and an anion gap metabolic acidosis, often accompanied by acute kidney injury, and potential multisystem organ failure (Arroliga et … programs broadcast by disneyWebThe common name ethylene glycol literally means “the glycol derived from ethylene .”. Ethylene glycol is a clear, sweet, slightly viscous liquid that boils at 198 °C (388.4 °F). … programs building webpagesWebAug 6, 2014 · Ethylene glycol poisoning should be among suspected differentials when assessing a seemingly intoxicated patient with … kynd hearts home health care