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#88 Acid base, boy bands, and grandfather clocks with Joel Topf MD

The Curbsiders Internal Medicine Podcast

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How to Correct the Anion Gap

You want to correct the anion gap you can add Two and a half To what your calculate anion gap is for every one gram per deciliter that the albumin is decreased. This is deep into the not very well supported by um ATHISENCE it doesn't help very much increase in the sensitivity of specificity for anion gap. It again it's part of this internally consistent logic of how this stuff should work Um, and then doesn't work so well when you actually measure it against the against real patient data Uh that said you'll probably get asked about this especially in an ICU rotation And have you guys run into this people asking you about the low albumin and adjusting the

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