Metabolic Acidosis Explained CLEARLY (Anion Gap vs. Non Anion Gap)

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  • Опубліковано 26 вер 2024

КОМЕНТАРІ • 82

  • @Medcram
    @Medcram  4 роки тому +15

    If you like this video, view Dr. Seheult's full video series on BMP / Chem-7 Results: www.medcram.com/courses/bmp-chem-7-results-explained-clearly
    Get 35% OFF for a course launch special (Expires Sunday, Sept 20). Enter discount code: 𝗯𝗺𝗽𝟯𝟱𝘆𝘁 at checkout

  • @LunaSimtea
    @LunaSimtea 3 роки тому +21

    THANK YOU !!! This is the absolutely clearest explanation of this subject I have ever encountered. It beats my lectures in Med School hands down.

    • @Medcram
      @Medcram  3 роки тому

      Thank you for your feedback

  • @MegaJasonic
    @MegaJasonic 4 роки тому +28

    Glad there are experts that have a handle on this. This is not easy stuff.

  • @cathie9614
    @cathie9614 4 роки тому +9

    Never went to college but I do enjoy your videos. I can figure out what you're talking about. 👍

  • @concernedcitizen780
    @concernedcitizen780 4 роки тому +8

    Bravo! Taking a complicated topic and making it understandable. Thank you.

    • @Medcram
      @Medcram  4 роки тому +1

      You’re welcome. Thanks for your comment

  • @sapelesteve
    @sapelesteve 4 роки тому +6

    That brief presentation was really outstanding Doc! Concise & well explained. Thanks....👍👍

  • @dsmj7389
    @dsmj7389 4 роки тому +31

    I guess it's back to the original purpose of the channel for now. I'll still keep the notifications on.

    • @Medcram
      @Medcram  4 роки тому +21

      Thanks, we plan to do more COVID-19 updates

    • @dodaexploda
      @dodaexploda 4 роки тому +2

      I watched half of this video wonering what it had to do with covid19. "Oh, it must be a setup for the next video" I thought.

    • @eddystar9816
      @eddystar9816 4 роки тому +2

      @@Medcram Could you please do an update on this! Looks very promising and a game changer! news.yahoo.com/antibody-could-neutralise-coronavirus-found-150725935.html

  • @levihoffman4161
    @levihoffman4161 3 роки тому +1

    this deserves a million likes!
    so much clearer.

  • @PeterSHenry
    @PeterSHenry 3 роки тому +2

    Amazing work. Keep going, doc!
    Greetings from a med student in Egypt. you spared me many hours of listening to my lecturers.

  • @jhern083
    @jhern083 4 роки тому +13

    This right here, THANK YOU MAN

    • @Medcram
      @Medcram  4 роки тому +3

      Thank you for your feedback

  • @CarolPorter
    @CarolPorter 4 роки тому +7

    I miss Dr. Seheult's COVID-19 updates! Please publish another very soon! Thank you.

  • @Bill.R.124
    @Bill.R.124 3 місяці тому

    Complex, but I've never seen a visual representation of the "gap" that everyone's always talking about. I teach my nursing students DKA where the obsession is "closing the gap" with an insulin drip, and how even if the BS is almost normal, we keep it going (and add dextrose to the maintenance fluid). This is helpful to grasp these concepts a little better.

  • @tim2269
    @tim2269 4 роки тому +3

    Strong work as usual.Your absence had me worried.Hope you had some good RR.

  • @earnestthompson5136
    @earnestthompson5136 4 роки тому +28

    I remember back in the day how we med students labored over this . It would have been much smoother if Dr. Seheult had been our teacher! Man did we laboooooR over this stuff. Oh for a time machine! Thank you Dr. S !

  • @Sharonmxg
    @Sharonmxg 3 роки тому

    so helpful to hear the big med terms pronounced. I usually just read them and tend to speak them with incorrect pronunciation.

  • @اللهالمستعان-ر8ف
    @اللهالمستعان-ر8ف 2 роки тому

    Great Clear explanation شكرااا shokran
    Thank you from egypt

  • @MedNerdDrWaqasFazal
    @MedNerdDrWaqasFazal 4 роки тому +2

    Thank you for such an informative video. I hope one day my videos will be as good as yours ❤️😊

  • @greensahuaro2834
    @greensahuaro2834 2 роки тому

    Many thanks Doctor! Your teaching is awesome!

  • @BoredT-Rex
    @BoredT-Rex 2 роки тому

    thank you so much. ive had so many questions and this cleared them up. Yay

  • @areejbinsalman5241
    @areejbinsalman5241 4 роки тому +1

    really thank you for this explanation

    • @Medcram
      @Medcram  4 роки тому

      Thanks for your comment

  • @itunnu5103
    @itunnu5103 2 роки тому

    Thank you for this video. You made it very easy to understand.

  • @micalukic9770
    @micalukic9770 4 роки тому +1

    This is awesome! Learned so much!

    • @Medcram
      @Medcram  4 роки тому

      Good to hear, thanks

  • @SanjeevKumar-lt1wc
    @SanjeevKumar-lt1wc 4 роки тому +1

    Thank you Dr.

  • @geilkaushik
    @geilkaushik 3 роки тому +1

    Thank you for the crisp explanation

  • @BR-hi6yt
    @BR-hi6yt 4 роки тому

    I never understood all that stuff. Now I understand better.

  • @Sarah-fd5iv
    @Sarah-fd5iv 4 роки тому +3

    Thank God. I’m so bored of COVID

  • @josiesoriano
    @josiesoriano Рік тому

    Thank you

  • @yasmine4754
    @yasmine4754 4 роки тому +1

    I finally, finally understand the anion gap. The only thing I don't understand is in the non anion gap metabolic acidosis, when you lose HCO3, how do you gain chloride, where is it coming from?

  • @dailydoseofmedicinee
    @dailydoseofmedicinee 4 роки тому +9

    The most common causes of hyperchloremic metabolic acidosis are gastrointestinal bicarbonate loss, renal tubular acidosis, drugs-induced hyperkalemia, early renal failure and administration of acids.👍

  • @HannesProducings
    @HannesProducings 3 роки тому +2

    Dear Dr. Schuelt, thank you for this amazing video. I have one question. Is the Spironolactone the cause of RTA type IV or are this two different entities? So if the cause of metabolic acidosis is spironolactone, can you say this is a RTA type IV or not?
    I'm making a case about a patient who has DM type II with nefropathie (creatinine is increased) and he also takes spironolactone and an ARB. He has a hyperK too. How can I know if this is caused by Spironolactone or ARB or RTA type IV?

  • @angelagarner1904
    @angelagarner1904 4 роки тому +2

    Very interesting and informative as usual 😀 If you ever had time I would love to hear about epigenetics, there are so many fascinating things to learn about the body! Take care

  • @caesarahad7706
    @caesarahad7706 4 роки тому +1

    Super sir!

  • @michelfeinstein
    @michelfeinstein 4 роки тому +1

    Aren't there any updates on the COVID-19 studies? Nothing on NAC? Inhaled corticoides?

  • @enricoalexixmachine9399
    @enricoalexixmachine9399 3 роки тому +1

    hi very, very, very good tutorials....
    what kind of software use to write in this tutorial.
    thanks

  • @toniencheff4046
    @toniencheff4046 3 роки тому

    Dear Dr. Schuelt, You are amazing! Could you shine light on my point of confusion? In the venous BMP, carbon dioxide and bicarbonate are counted as the same thing, whereas in the arterial blood gas, excess carbon dioxide is a sign of acidosis, and bicarbonate is a sign of alkalosis.

    • @Medcram
      @Medcram  3 роки тому +1

      The bmp co2 is measured bicarbonate. On a blood gas the bicarbonate is calculated using an equation.

  • @greensahuaro2834
    @greensahuaro2834 3 роки тому

    Thanks you!

  • @jameslin5678
    @jameslin5678 3 роки тому

    Why is losing NaHCO3 synonymous to gaining HCl? If the kidneys have trouble reabsorbing bicarb, where does the extra Cl- come from to cover that gap? Is it because the kidneys are compensating by reuptaking more Cl- for the lost bicarb? Thanks!

  • @andrewokuni7487
    @andrewokuni7487 Рік тому

    What happens in the glomerulus and hypothalamus during AGMA?

  • @TheTwick
    @TheTwick 4 роки тому

    Thank you. You didn’t talk about blood pH. [at least I don’t remember - maybe I should take the whole course?]

  • @mikeruiz1107
    @mikeruiz1107 4 роки тому +3

    Where are the covid updates 😭

  • @PilarAYah
    @PilarAYah 3 роки тому

    Where can I find the rest of the videos?

  • @OrganizeMyDad
    @OrganizeMyDad 3 роки тому

    I have Multiple Sclerosis. There are some vaccines I can’t take. Do we know if people with compromised immune systems will be able to take this one or one of the candidates?

  • @AS-oz6ep
    @AS-oz6ep 4 роки тому

    Are you still doing COVID-19 updates? There hasn't been one in almost 2 weeks (used to be almost daily!).
    Is there nothing new to discuss?

    • @stormmtb5068
      @stormmtb5068 4 роки тому +1

      That’s kind of an update in and of itself lol.

  • @jimmccandless4307
    @jimmccandless4307 4 роки тому +2

    The question on the table is?
    Those who have tested positive for coronavirus that have antibodies and are asymptomatic how long can they still transmit the covid-19 virus !

  • @suecanada2313
    @suecanada2313 4 роки тому +1

    ??? why no COVID-19 ??? is everyone OK, sure hope so ! Afraid for you in California, Orgeon and Washington states.
    hugs and good wishes to you all from Canada

    • @Medcram
      @Medcram  4 роки тому +1

      We are based in Oregon and California! Thank you for the good wishes - We are posting a COVID update today.

  • @medicalbiochemistry_
    @medicalbiochemistry_ 4 роки тому +1

    👍👍

  • @ayawaridania
    @ayawaridania Рік тому

    👏🏻👏🏻👏🏻👏🏻👏🏻

  • @thelostant
    @thelostant 4 роки тому +6

    Missing my Rona updates...

  • @levehajdu5748
    @levehajdu5748 3 роки тому +1

    It's sad seeing a video like this! It shows how doctors have lost all diagnostic observation skills and are totally dependent on painful and uncomfortable tests. It's really sad to see how far the profession has fallen and been dumb down.

  • @bourgeoisie6076
    @bourgeoisie6076 4 роки тому

    Yeah, biochemistry isn't kicking in..

  • @doctorfaheemkhanbalouch6322

    🫡🫡🙏🏻👍👍

  • @sonnguyen-bk8jw
    @sonnguyen-bk8jw 3 роки тому

    The disgusted summer occasionally use because barbara bizarrely jog until a five syrup. finicky, bumpy planet

  • @faridabdous5808
    @faridabdous5808 3 роки тому +5

    What a great teacher you are. Thank you so much.

  • @mitch9224
    @mitch9224 4 роки тому +8

    So glad to see a new, more 'general' medical video 😄. SARSCoV2 updates were the most helpful out of all other sources in my opinion, but these more regular videos are also extremely educative :)

  • @katylb658
    @katylb658 Рік тому +1

    What an amazing explanation thank you! I'm trying to understand how to differentiate between nagma and AGMA when keto diet (AGMA), Diamox (usually nagma I think?) And drospirenone (holds onto potassium) all come into play together.

  • @asraaalsalih3209
    @asraaalsalih3209 3 роки тому +1

    Thank you 🙏🏻🙏🏻

  • @yedildyussembayev3698
    @yedildyussembayev3698 4 роки тому

    Thumb up If this intro make you to fell: "I am about to see COVID-19 updates" more than educational video

  • @hudabadran1716
    @hudabadran1716 3 роки тому +1

    Excellent

  • @mirmirjan277
    @mirmirjan277 Рік тому

    omg. this is absolutely amazing. the way he explains it is absolutely incredible. thank you so much

  • @jlk9239
    @jlk9239 2 роки тому

    great video and by far the best video I have found on this topic so far. what I just don't want to understand so far: why is the loss of sodium bicarbonate the same as the gain of hydrochloric acid? thank you and greetings from Germany!

  • @dalalmohd2164
    @dalalmohd2164 2 роки тому

    you are a saver , Thanks

  • @theresageiger584
    @theresageiger584 2 роки тому

    HOW DO YOU GET BETTER

  • @ventasyiem4956
    @ventasyiem4956 2 роки тому

    Thank you 🙏