最近経験したんですが、肝性脳症では代謝性アシドーシスを伴わない、呼吸性アルカローシス/アルカレミアが見られうるみたいです。お恥ずかしながら経験するまで知らなかったです。 原因は脳症による中枢性みたいですが、正確な機序は不明みたいです。 #医学ネタ ref:https://t.co/2uD2MUi2GE
Acid-base disorders in liver disease.
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Sep 2019 – Apr 2025Where it's discussed
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X / Twitter8 posts
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YouTube3 videos
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What people are saying
Participants show interest by exploring detailed physiological mechanisms, such as hypoalbuminaemic alkalosis being counteracted by hyperchloraemic acidosis, and discuss practical treatment considerations, exemplified by references to specific complex acid-base disturbances highlighted in the publication. The tone and focus on clinical relevance and physiopathology indicate a moderate but meaningful level of engagement and perceived impact.
Most discussions acknowledge the complexity of acid-base disorders in liver disease, with some highlighting the importance of understanding these physiopathological changes.
The posts demonstrate a general interest, especially among those focusing on the physiological mechanisms and clinical implications.
Participants delve into specific metabolic disturbances, providing summaries and examples, implying moderate engagement.
These discussions suggest a recognition of the importance of understanding these disorders for clinical practice, though the engagement remains somewhat academic.
Abstract in brief
- The liver is a key regulator of acid-base balance, alongside the kidneys and lungs, but disorders can complicate its function.
- Patients with chronic liver disease may experience a range of metabolic acid-base disorders, often masked by standard measurements like pH, highlighting the need for a more comprehensive model for assessment.
- In critically ill liver patients, this balance can shift towards metabolic acidosis due to factors like sepsis or bleeding, making an understanding of these disturbances crucial for effective treatment.
Top posts
Most liked on X and BlueskyAcid-base disorders in liver disease. https://t.co/o1AVDY8Bh3
Los pacientes con enfermedad hepática suelen tener diversos trastornos ácido-base complejos. Enfoque a la fisiopatología de alteraciones del EAB y posible tratamiento. Journal of Hepatology 2017 https://t.co/JvxzJI08xv
@DrQiu @TableRounds @AnnKumfer I usually think of relative ⬆️ Cl- in NAGMA and would expect AGMA with normal Cl- from liver cirrhosis sequelae ie lactic acidosis. paging @KidneyWars for curbside
Patients with stable chronic liver disease have several offsetting acidifying and alkalinising metabolic acid-base disorders. Hypoalbuminaemic alkalosis is counteracted by hyperchloraemic and dilutional acidosis, resulting in a normal overall base excess https://t.co/JvxzJI08xv
@semogabigwin4 Kl yang dimaksud yang ini: https://t.co/3KTkATVOCt Mungkin karena fungsi livernya mas. https://t.co/gBsc5zhTR2
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最近経験したんですが、肝性脳症では代謝性アシドーシスを伴わない、呼吸性アルカローシス/アルカレミアが見られうるみたいです。お恥ずかしながら経験するまで知らなかったです。 原因は脳症による中枢性みたいですが、正確な機序は不明みたいです。 #医学ネタ ref:https://t.co/2uD2MUi2GE
Patients with stable chronic liver disease have several offsetting acidifying and alkalinising metabolic acid-base disorders. Hypoalbuminaemic alkalosis is counteracted by hyperchloraemic and dilutional acidosis, resulting in a normal overall base excess https://t.co/JvxzJI08xv
Los pacientes con enfermedad hepática suelen tener diversos trastornos ácido-base complejos. Enfoque a la fisiopatología de alteraciones del EAB y posible tratamiento. Journal of Hepatology 2017 https://t.co/JvxzJI08xv
@semogabigwin4 Kl yang dimaksud yang ini: https://t.co/3KTkATVOCt Mungkin karena fungsi livernya mas. https://t.co/gBsc5zhTR2
@DrQiu @TableRounds @AnnKumfer I usually think of relative ⬆️ Cl- in NAGMA and would expect AGMA with normal Cl- from liver cirrhosis sequelae ie lactic acidosis. paging @KidneyWars for curbside
RT @estudiomedicina: Acid-base disorders in liver disease. https://t.co/o1AVDY8Bh3
RT @estudiomedicina: Acid-base disorders in liver disease. https://t.co/o1AVDY8Bh3
Acid-base disorders in liver disease. https://t.co/o1AVDY8Bh3