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Nature Clinical Practice Nephrology (2006) 2, 4-5
doi:10.1038/ncpneph0073  
Received 26 July 2005 | Accepted 4 October 2005

Anion-gap interpretation: the old and the new

Michael Emmett

Correspondence Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 7524, USA

Email
 m.emmett@baylorhealth.edu

The plasma concentration of sodium ions normally exceeds the sum of the plasma concentrations of chloride and bicarbonate ions. Calculation of the resulting 'anion gap' can aid the diagnosis of various acid–base and electrolyte disorders. Michael Emmett discusses the utility of this approach, and highlights the potential disrupting factors which should be taken into account when interpreting anion gap calculations.

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