Pseudo-Hypobicarbonatemia in Patients With Hypertriglyceridemia.

Good, Cami J; Sweedan, Yazeed G; Kamat, Sanjana; Giri, Chudamani

Good, Cami J; Sweedan, Yazeed G; Kamat, Sanjana; Giri, Chudamani.

Afiliación

Good CJ; Family Medicine, Conemaugh Memorial Medical Center, Johnstown, USA.
Sweedan YG; Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, USA.
Kamat S; Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, USA.
Giri C; Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, USA.

Cureus ; 16(3): e55787, 2024 Mar.

Article en En | MEDLINE | ID: mdl-38586628

ABSTRACT

ABSTRACT

Hypobicarbonatemia with an elevated anion gap on a metabolic panel is frequently the initial marker of a life-threatening condition such as diabetic ketoacidosis in a patient with epigastric pain. The two commonly used means of measuring bicarbonate levels are direct measurement from a metabolic panel and calculated measurement from arterial blood gas. In this case report, we would like to highlight a potentially serious deficiency in one of these two means and how it may lead to a dangerous misdiagnosis and subsequent mismanagement. We also shine a light on potential measures to counteract or prevent this undesirable outcome.

Palabras clave

acute pancreatitis; anion-gap metabolic acidosis; diabetic ketoacidosis (dka); epigastric pain; hepatosplenomegaly; hypertriglyceridemia (htg); hypobicarbonatemia; serum bicarbonate

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

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