High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK Glycols - ethylene and propylene glycol Oxoproline - associated with acetaminophen use L-lactate - produced during hypoxic metabolism D-lactate - associated with short bowel syndrome Methanol ingestion - anti-freeze, varnish, etc. Aspirin - salicylate toxicity causes lactic & ketoacidosis Renal failure - underexcretion of acids in advanced renal failure Ketoacidosis - diabetic, alcohol, starvation Paresh Jadav, MD @jadav_md #Anion #Gap #Metabolic #Acidosis #HAGMA #Differential #Diagnosis #GOLDMARK #mnemonic #nephrology
