Subtraktionsazidose

19:02 Apr 7, 2005
German to English translations [PRO]
Medical - Medical (general)
German term or phrase: Subtraktionsazidose
Metabolische Azidosen liegt eine erhöhte Säureproduktion (Additionsazidose)
oder verminderte Bikarbonat-Konzentration (Subtraktionsazidose) zugrunde.
Lucius Passani, Ph.D.


Summary of answers provided
3 +1negative anion gap
Kim Metzger
3...("subtraction" acidosis)
Fantutti (X)


Discussion entries: 1





  

Answers


4 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +1
negative anion gap


Explanation:
The anion gap can be normal, low or high, and each result has a different clinical implication.
• NORMAL ANION GAP. In this case there is no lab evidence for anion gap acidosis. This result does not always rule out an anion gap acidosis, but certainly makes that diagnosis unlikely.
• VERY LOW OR NEGATIVE ANION GAP. There are several reasons why this can occur, including:
• halide ion measured as chloride, as seen in bromism (some cough medications contain dextromethorphan bromide);
• excess unmeasured cation, as seen in lithium toxicity;
• reduction in the unmeasured anions, as seen in hypo-proteinemia; a 1 gm/dl decrease in serum albumin causes a 2.5 mEq/L drop in the AG.
• presence of abnormal, positively charged proteins (paraproteins), as may occur in multiple myeloma.

http://www.lakesidepress.com/pulmonary/ABG/bicarbgap.98.htm


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Note added at 5 mins (2005-04-07 19:07:23 GMT)
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negative anion gap acidosis - I think.


Kim Metzger
Mexico
Local time: 16:04
Native speaker of: Native in EnglishEnglish
PRO pts in category: 429
Grading comment
I am coming up with Normal anion gap metabolic acidosis. I am still uncertain about this term.

Thanks,

Lucius

Peer comments on this answer (and responses from the answerer)
agree  Mustafa Er (BSc MA): -
1 hr

neutral  MMUlr: see Additionsazidose ... not sure about that.
14 hrs
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The asker has declined this answer
Comment: I am coming up with Normal anion gap metabolic acidosis. I am still uncertain about this term.

Thanks,

Lucius

7 hrs   confidence: Answerer confidence 3/5Answerer confidence 3/5
...("subtraction" acidosis)


Explanation:
'Subtraction acidosis' isn't a standard English medical term, but since it's preceded by the definition (a decrease in bicarbonate concentration), you might well get away with it, imo.

Lab Science - Chem Path Case
... Pancreatic secretions are rich in bicarbonate, and when this is lost externally
directly a metabolic** 'subtraction' acidosis ** may occur, ...
www.leeds.ac.uk/medicine/ teaching/clinsci/lscases/lscc0021.htm

Fantutti (X)
Local time: 14:04
Specializes in field
PRO pts in category: 267

Peer comments on this answer (and responses from the answerer)
neutral  MMUlr: Sure, in this sentence, I like your way to come to a solution, but I went to "neutral" as I was not sure any more about the facts and which suggestion was best.
6 hrs
  -> The only way to translate Subtraktionsazidose is by definition: acidosis due to excessive loss of bicarbonate. However, a defintion is already provided in the source text. What to do? Add yet another defintion? I still like my suggestion as a way out.
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