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The fascinating session on ‘Salt, water, vinegar, soda’🧂continues with @VelezNephHepato taking off with acid-base metabolism in liver disease. Such a treat! #ApexPathshala 
Increased permeability of blood brain barrier in liver disease ➡️ respiratory alkalosis #ApexPathshala
Cholestyramine induced NAGMA #ApexPathshala
Ringer’s lactate is not lactic acid.
‘In metabolic acidosis, lactate is a source of HCO3, but not in cirrhosis.’ Brilliant.
(Take a look at H+ ions combining with lactate, raising levels of free HCO3 ➡️ only if excess H+ ions exist,i.e. in metabolic acidosis.) #ApexPathshala
‘In metabolic acidosis, lactate is a source of HCO3, but not in cirrhosis.’ Brilliant.
(Take a look at H+ ions combining with lactate, raising levels of free HCO3 ➡️ only if excess H+ ions exist,i.e. in metabolic acidosis.) #ApexPathshala
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