Prof Faridah
dr.i have some things that i dun understand..
Q1 alkalosis causes decrese in free ca ions due to association with
protein. but in milk alkali syndrome. the alkaemia will cause the
increase in renal absorbtion of ca> hypercalcemia...so..
A) is it alkalosis will cause decrease in ca..provided only if the kidney is dysfunctional? so there is no reabsorption?
b) does alkaemia and alkalosis have different effects on the ca ions? if yes, how? examples?
Q2 the non-anion gap metabolic acidosis in case of renal tubular
acidosis type 1,2,4...frm what i understand is during...there is when
alkali decrese..>bicarbonate loss. chloride replaces it via
reabsorption> so the measued anion gap is the same..does this mean
these renal tubular acidosis are all hyperchloreamic acidosis?
Q3) from what i understand last year.. acidosis will cause
hyperkalaemia.due exchange of acid wif potassium ions...but why renal
tubular acidosis type 1 and 4 is related to hypokalaemia?
Q4)dr...from the primer in chemical pathology...pg51 (normal anion
gap acidosis is devided to hyper and hypokalaemic)...does this mean that
the potassium disruptions only occur when there is normal anion
gap...and why so? i dun quite understand the explainations i got from
the book...
i hope you can help me clear up some of these doubts and queries..thanking you in advance..
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