outpatient workup for slight increase anion gap and slight decrease co2 serum

Discussion in 'Family Medicine' started by oldanddone, Aug 8, 2015.

  1. oldanddone

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    ,
     
    #1 oldanddone, Aug 8, 2015
    Last edited: Aug 8, 2015
  2. Doctor4Life1769

    Doctor4Life1769 **tr0llin, ridin dirty**
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    how abnormal? if mild, nothin. tell them to hydrate themselves and/or look to see if they're on diuretics. history should give you almost everything you need to know.
     
  3. oldanddone

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    Very mild. No reason. Healthy no meds no mudpiles etiologies for the anion gap. Creat etc normal. Urinalysis did have trace 'blood' on dip but this area has protocol that urinalysis not done for 'trace' perhaps because low yield for sediment? Started trying to search for what needs to be done. Might refer to Gen IM after repeating if remains because curiously has small joint pain with rheumatoid workup neg several different factors tested not exactly sure of this connection to joint pain for acidosis. Not sure who to have see...Gen IM or rheum they have long waiting list or nephro.
     
  4. septoplasty

    septoplasty Exceptional
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    By "Gen IM" are you referring to General Internal Med? If so.. referring from one primary care provider to another.. see the problem in that?
     
  5. Blue Dog

    Blue Dog Fides et ratio.
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    Yeah, that would be odd. In my experience, most internists refer more stuff out than we do.

    As for the OP's question, it's probably nothing. Minor abnormalities like that are not unusual, and are probably the result of the testing methodology and specimen handling. Use your clinical judgement.
     
    #5 Blue Dog, Aug 9, 2015
    Last edited: Aug 9, 2015
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  6. oldanddone

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    In canada Gen IM and peds are not generalists. The fp has a larger role and so the other two are more consultant and also in turn work with broader specialized scope. Sorry for the confusion. Thanks to blue dog for normalizing. First few months of practice here so feeling it when no preceptor to ask the q. Thx for the replies
     

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