This paper is only available as a PDF. To read, Please Download here.
In this article, the renal tubular acidoses are briefly described, individual laboratory
tests of urinary acidification are reviewed, and the administration and interpretation
of these tests are discussed. A systematic approach to the laboratory evaluation of
hyperchloremic metabolic acidosis is included.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.
Content published before 2002 is available via pay-per-view purchase only.
Subscribe:
Subscribe to Clinics in Laboratory MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Metabolic acidosis and alkalosis.Clin Nephrol. 1977; 7: 201
- Mechanisms and classification of deranged distal urinary acidification.Am J Physiol. 1980; 239: F515
- Factors influencing the formation of urinary carbon dioxide tension.Kidney Int. 1977; 11: 307
- The critical importance of urinary concentrating ability in the generation of urinary carbon dioxide tension.J Clin Invest. 1977; 60: 922
- Renal tubular acidosis syndromes.Miner Electrolyte Metab. 1981; 5: 83
- The use of the urinary anion gap in the diagnosis of hyperchloremic metabolic acidosis.N Engl J Med. 1988; 318: 594
- Clinical and pathophysiologic spectrum of acquired distal renal tubular acidosis.Kidney Int. 1981; 20: 389
- Pathogenetic relationships between renal tubular acidosis and sodium metabolism in cirrhosis.Digestion. 1983; 26: 179
- Clinical disorders of acid-base physiology.in: Gonick H. Current Nephrology, vol 14. Mosby Yearbook, Chicago1991: 39
- A comparison of methods for measuring urinary ammonium.Kidney Int. 1974; 5: 303
- The mechanism of the metabolic acidosis of selective mineralocorticoid deficiency.Kidney Int. 1978; 14: 466
- The urine anion gap: A clinically useful index of ammonium excretion.Am J Med Sei. 1986; 292: 198
- Studies on the pathogenesis of type I (distal) renal tubular acidosis as revealed by urine pCO2 tensions.J Clin Invest. 1974; 53: 669
- Urine ammonium: The key to the diagnosis of distal renal tubular acidosis.Nephron. 1988; 50: 1
- Impaired renal H+ secretion and NH3 production in mineralocorticoid deficient glucocorticoid replete dogs.Am J Physiol. 1977; 232: F136
- Physiologic significance of urinary carbon dioxide tension.Mineral Electrolyte Metab. 1978; 1: 241
- Hyperkalemic renal tubular acidosis: effect of furosemide in humans and rats.Kidney Int. 1985; 28: 801
- Effect of furosemide on urinary acidification in distal renal tubular acidosis.J Lab Clin Med. 1984; 104: 271
- The urine pH: A potentially misleading diagnostic test in patients with hyperchloremic metabolic acidosis.Am J Kidney Dis. 1987; 10: 140
- Cellular mechanisms in urinary acidification and renal tubular acidosis.in: Andreoli T.E. Hoffman J. Fanestil D. Physiology of Membrane Disorders. Plenum Press, New York1979: 987
- Effects of routine doses of antacid on renal acidification.Lancet. 1986; 11: 3
- Oral phosphate loading test for the assessment of distal urinary acidification in children.Mineral Electrolyte Metab. 1984; 10: 387
- The excretion of acid in renal disease.Q J Med. 1959; 28: 259
Article info
Identification
Copyright
© 1993 Elsevier Inc. Published by Elsevier Inc. All rights reserved.