Clinical Validation

Hi. Just want to bounce this off someone (lone Peds CDI here where I work).

Pt admitted with hyperammonemia and has Cirtrullinemia. VBG showed pH 7.44, pCO2 34, HCO3 23.2. Serum CO2 21, Cl- 106, Na+ 135. Pt is 3 yr old.

Physician called that anion gap METABOLIC ACIDOSIS. Any recommendations on best way to query to validate that diagnosis so I don't "disengage" this physician regarding CDI when I just got recently him to answer queries without having to "stalk" him?

Thanks in advance!



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