Title: Anion Gap Acidosis is a "KILR"<br/>Author: Daniel Haase<br/><a href='http://umem.org/profiles/faculty/1447/'>[Click to email author]</a><hr/><p>
Ever forget all the things that make up MUDPILES in your AG acidosis differential?</p>
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Instead, consider the less-complicated mnemonic "<strong><u>KILR</u></strong>"!</p>
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<strong>K</strong> – Ketoacidosis (diabetic, alcoholic, starvation)</p>
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<strong>I</strong> – Ingestion (salicylate, acetaminophen, methanol, ethylene glycol, CO, CN, iron, INH)</p>
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<strong>L</strong> – Lactic acidosis (infection, hemorrhage, hypoperfusion, alcohol, metformin)</p>
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<strong>R</strong> – Renal (uremia)</p>
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Once you rule out the KLR causes, begin to consider ingestion or a tox source as your source. Remember that many of the listed ingestions can also cause a lactic acidosis.</p>
<fieldset><legend>References</legend>
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<strong><u>For more acid/base pearls in greater detail:</u></strong></p>
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<a href="http://lifeinthefastlane.com/ccc/anion-gap/">http://lifeinthefastlane.com/ccc/anion-gap/</a></p>
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<a href="http://emcrit.org/wp-content/uploads/acid_base_sheet_2-2011.pdf">http://emcrit.org/wp-content/uploads/acid_base_sheet_2-2011.pdf</a> (from emcrit.org)</p>
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