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<!--
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UID=369924
|
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ConceptID=C1969073
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-->
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<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Hyperchloremic metabolic acidosis</div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>369924</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C1969073</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome; Finding</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonym:</td>
|
||
<td>Non-gap acidosis</td></tr>
|
||
<tr><td colspan="2" class="small"> </td></tr><tr><td>HPO:</td>
|
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<td><a target="_blank" title="Human Phenotype Ontology" href="https://hpo.jax.org/app/browse/term/HP:0004918">HP:0004918</a></td></tr>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Definition">Definition</h1><a sid="100" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln">A form of metabolic acidosis with increased serum chloride levels. [from <a title="Human Phenotype Ontology" href="http://www.human-phenotype-ontology.org" class="defSource" target="_blank">HPO</a>]</div>
|
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</div>
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<div class="portlet mgSection" id="ID_118">
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Term_Hierarchy">Term Hierarchy</h1><a sid="118" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
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<div class="portlet_content ln HierarchyGTR"><div class="jig-ncbitabs"><ul><li><a href="#tabGTR">GTR</a></li><li><a href="#tabMGEN">MeSH</a></li></ul><div id="tabGTR"><div class="search_result"><div class="rprts"><div class="chiclet_legend"><span class="chiclet_list" style="position:static;"><span title="Clinical test" class="chiclet Ccolor round">C</span><span>Clinical test, </span><span title="Research test" class="chiclet Rcolor round">R</span><span>Research test, </span><span title="OMIM" class="chiclet Ocolor ">O</span><span>OMIM, </span><span title="GeneReview" class="chiclet Gcolor">G</span><span><em>GeneReviews</em>, </span><span title="ClinVar" class="chiclet Vcolor">V</span><span>ClinVar </span></span></div><div id="hierarchy" class="margin_t1"><div class="ds_tree"><ul><li class="matched_ds"><span class="chiclet_list"><span class="chiclet unavailable round" title="Clinical test">C</span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet unavailable" title="OMIM">O</span><span class="chiclet unavailable" title="GeneReviews">G</span><span class="chiclet unavailable" title="ClinVar">V</span></span><span class="TLline">Hyperchloremic metabolic acidosis</span></li></ul></div></div></div></div></div><div id="tabMGEN"><div class="ds_tree"><ul><li><span class="TLline"><a href="/medgen/867443" ref="tree=MeSH" title="MedGen record for Phenotypic abnormality">Phenotypic abnormality</a></span><ul><li><span class="TLline"><a href="/medgen/867398" ref="tree=MeSH" title="MedGen record for Abnormality of metabolism/homeostasis">Abnormality of metabolism/homeostasis</a></span><ul><li><span class="TLline"><a href="/medgen/868551" ref="tree=MeSH" title="MedGen record for Abnormal homeostasis">Abnormal homeostasis</a></span><ul><li><span class="TLline"><a href="/medgen/7851" ref="tree=MeSH" title="MedGen record for Abnormality of acid-base homeostasis">Abnormality of acid-base homeostasis</a></span><ul><li><span class="TLline"><a href="/medgen/1296" ref="tree=MeSH" title="MedGen record for Acidosis">Acidosis</a></span><ul><li><span class="TLline"><a href="/medgen/43207" ref="tree=MeSH" title="MedGen record for Hyperchloremic acidosis">Hyperchloremic acidosis</a></span><ul><li><span class="matched_ds">Hyperchloremic metabolic acidosis</span></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></div></div></div></div>
|
||
</div>
|
||
|
||
<div class="portlet mgSection" id="ID_112">
|
||
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Conditions_with_this_feature">Conditions with this feature</h1><a sid="112" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln clinfeat">
|
||
<div class="divPopper rprt" id="rdis_82777"><div><strong>Deficiency of UDPglucose-hexose-1-phosphate uridylyltransferase</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>82777</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information."><span class="highlight" style="background-color:">C0268151</span></a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">The term "galactosemia" refers to disorders of galactose metabolism that include classic galactosemia, clinical variant galactosemia, and biochemical variant galactosemia (not covered in this chapter). This GeneReview focuses on: Classic galactosemia, which can result in life-threatening complications including feeding problems, failure to thrive, hepatocellular damage, bleeding, and E coli sepsis in untreated infants. If a lactose-restricted diet is provided during the first ten days of life, the neonatal signs usually quickly resolve and the complications of liver failure, sepsis, and neonatal death are prevented; however, despite adequate treatment from an early age, children with classic galactosemia remain at increased risk for developmental delays, speech problems (termed childhood apraxia of speech and dysarthria), and abnormalities of motor function. Almost all females with classic galactosemia manifest hypergonadatropic hypogonadism or premature ovarian insufficiency (POI). Clinical variant galactosemia, which can result in life-threatening complications including feeding problems, failure to thrive, hepatocellular damage including cirrhosis, and bleeding in untreated infants. This is exemplified by the disease that occurs in African Americans and native Africans in South Africa. Persons with clinical variant galactosemia may be missed with newborn screening as the hypergalactosemia is not as marked as in classic galactosemia and breath testing is normal. If a lactose-restricted diet is provided during the first ten days of life, the severe acute neonatal complications are usually prevented. African Americans with clinical variant galactosemia and adequate early treatment do not appear to be at risk for long-term complications, including POI.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/82777">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_372151"><div><strong>Congenital malabsorptive diarrhea 4</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>372151</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C1835888</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Congenital malabsorptive diarrhea-4 (DIAR4) is an autosomal recessive disorder characterized by severe intestinal malabsorption and an absence of enteroendocrine cells. Most patients develop insulin-dependent diabetes mellitus in the neonatal period or early childhood. Other features include short stature, hypogonadotropic hypogonadism, and subclinical hypothyroidism with thyroid gland hypoplasia. Pituitary gland hypoplasia with multiple pituitary hormone deficiencies and proximal renal tubulopathy have also been observed (Wejaphikul et al., 2023). For a discussion of genetic heterogeneity of diarrhea, see DIAR1 (214700).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/372151">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_374457"><div><strong>Pseudohypoaldosteronism type 2B</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>374457</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C1840390</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Pseudohypoaldosteronism type II (PHAII) is characterized by hyperkalemia despite normal glomerular filtration rate (GFR) and frequently by hypertension. Other associated findings in both children and adults include hyperchloremia, metabolic acidosis, and suppressed plasma renin levels. Aldosterone levels are variable, but are relatively low given the degree of hyperkalemia (elevated serum potassium is a potent stimulus for aldosterone secretion). Hypercalciuria is well described.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/374457">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_327089"><div><strong>Pseudohypoaldosteronism type 2C</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>327089</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C1840391</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Pseudohypoaldosteronism type II (PHAII) is characterized by hyperkalemia despite normal glomerular filtration rate (GFR) and frequently by hypertension. Other associated findings in both children and adults include hyperchloremia, metabolic acidosis, and suppressed plasma renin levels. Aldosterone levels are variable, but are relatively low given the degree of hyperkalemia (elevated serum potassium is a potent stimulus for aldosterone secretion). Hypercalciuria is well described.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/327089">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_483335"><div><strong>Pseudohypoaldosteronism type 2D</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>483335</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C3469605</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Pseudohypoaldosteronism type II (PHAII) is characterized by hyperkalemia despite normal glomerular filtration rate (GFR) and frequently by hypertension. Other associated findings in both children and adults include hyperchloremia, metabolic acidosis, and suppressed plasma renin levels. Aldosterone levels are variable, but are relatively low given the degree of hyperkalemia (elevated serum potassium is a potent stimulus for aldosterone secretion). Hypercalciuria is well described.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/483335">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_483336"><div><strong>Pseudohypoaldosteronism type 2E</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>483336</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C3469606</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Pseudohypoaldosteronism type II (PHAII) is characterized by hyperkalemia despite normal glomerular filtration rate (GFR) and frequently by hypertension. Other associated findings in both children and adults include hyperchloremia, metabolic acidosis, and suppressed plasma renin levels. Aldosterone levels are variable, but are relatively low given the degree of hyperkalemia (elevated serum potassium is a potent stimulus for aldosterone secretion). Hypercalciuria is well described.</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/483336">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1711127"><div><strong>Fanconi renotubular syndrome 5</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1711127</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5394473</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Fanconi renotubular syndrome-5 (FRTS5) is a mitochondrial disorder characterized by proximal renotubular dysfunction from birth, followed by progressive kidney disease and pulmonary fibrosis. It occurs only in individuals of Acadian descent (Crocker et al., 1997 and Hartmannova et al., 2016). For a discussion of genetic heterogeneity of Fanconi renotubular syndrome, see FRTS1 (134600).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1711127">Condition Record</a></div></div>
|
||
<div class="divPopper rprt" id="rdis_1771439"><div><strong>Renal tubular acidosis, distal, 4, with hemolytic anemia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1771439</dd><dt><span class="dotprefix"> •</span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS) Click for more information.">C5436235</a></dd><dt><span class="dotprefix"> •</span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
|
||
<div class="spaceAbove">Individuals with hereditary distal renal tubular acidosis (dRTA) typically present in infancy with failure to thrive, although later presentations can occur, especially in individuals with autosomal dominant SLC4A1-dRTA. Initial clinical manifestations can also include emesis, polyuria, polydipsia, constipation, diarrhea, decreased appetite, and episodes of dehydration. Electrolyte manifestations include hyperchloremic non-anion gap metabolic acidosis and hypokalemia. Renal complications of dRTA include nephrocalcinosis, nephrolithiasis, medullary cysts, and impaired renal function. Additional manifestations include bone demineralization (rickets, osteomalacia), growth deficiency, sensorineural hearing loss (in ATP6V0A4-, ATP6V1B1-, and FOXI1-dRTA), and hereditary hemolytic anemia (in some individuals with SLC4A1-dRTA).</div>
|
||
<div class="spaceAbove nowrap">See: <a href="/medgen/1771439">Condition Record</a></div></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_372151" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Congenital malabsorptive diarrhea 4</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_82777" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Deficiency of UDPglucose-hexose-1-phosphate uridylyltransferase</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1711127" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Fanconi renotubular syndrome 5</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_374457" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Pseudohypoaldosteronism type 2B</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_327089" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Pseudohypoaldosteronism type 2C</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_483335" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Pseudohypoaldosteronism type 2D</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_483336" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Pseudohypoaldosteronism type 2E</a></div>
|
||
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1771439" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Renal tubular acidosis, distal, 4, with hemolytic anemia</a></div></div>
|
||
</div>
|
||
|
||
<div class="portlet mgSection" id="ID_105">
|
||
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/39348721">Hyperchloremia and Prolonged Acidosis During Treatment for Pediatric Diabetic Ketoacidosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Yıldırımçakar D,
|
||
Öcal M,
|
||
Altıncık SA,
|
||
Özhan B</span><br />
|
||
<span class="medgenPMjournal">Pediatr Emerg Care</span>
|
||
2024 Dec 1;40(12):856-860.
|
||
Epub 2024 Sep 30
|
||
doi: 10.1097/PEC.0000000000003280.
|
||
<span class="bold">PMID: </span><a href="/pubmed/39348721" target="_blank">39348721</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/39077895">Lactated Ringer's versus normal saline in the management of acute diabetic ketoacidosis (RINSE-DKA).</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Jamison A,
|
||
Mohamed A,
|
||
Chedester C,
|
||
Klindworth K,
|
||
Hamarshi M,
|
||
Sembroski E</span><br />
|
||
<span class="medgenPMjournal">Pharmacotherapy</span>
|
||
2024 Aug;44(8):623-630.
|
||
Epub 2024 Jul 30
|
||
doi: 10.1002/phar.4600.
|
||
<span class="bold">PMID: </span><a href="/pubmed/39077895" target="_blank">39077895</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/38445406">Genotype-Phenotype correlation of distal renal tubular acidosis in Tunisia.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Hammi Y,
|
||
Charfi H,
|
||
Ferjani M,
|
||
Sayari T,
|
||
Mrad R,
|
||
Gargah T</span><br />
|
||
<span class="medgenPMjournal">Tunis Med</span>
|
||
2023 Aug-Sep;101(8-9):704-708.
|
||
<span class="bold">PMID: </span><a href="/pubmed/38445406" target="_blank">38445406</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(%22hyperchloremic%20metabolic%20acidosis%22%5Btiab%3A~0%5D)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (8)</a></div></div>
|
||
</div>
|
||
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
|
||
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
|
||
<div class="portlet mgSection" id="ID_103">
|
||
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/39077895">Lactated Ringer's versus normal saline in the management of acute diabetic ketoacidosis (RINSE-DKA).</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Jamison A,
|
||
Mohamed A,
|
||
Chedester C,
|
||
Klindworth K,
|
||
Hamarshi M,
|
||
Sembroski E</span><br />
|
||
<span class="medgenPMjournal">Pharmacotherapy</span>
|
||
2024 Aug;44(8):623-630.
|
||
Epub 2024 Jul 30
|
||
doi: 10.1002/phar.4600.
|
||
<span class="bold">PMID: </span><a href="/pubmed/39077895" target="_blank">39077895</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/33196806">Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Self WH,
|
||
Evans CS,
|
||
Jenkins CA,
|
||
Brown RM,
|
||
Casey JD,
|
||
Collins SP,
|
||
Coston TD,
|
||
Felbinger M,
|
||
Flemmons LN,
|
||
Hellervik SM,
|
||
Lindsell CJ,
|
||
Liu D,
|
||
McCoin NS,
|
||
Niswender KD,
|
||
Slovis CM,
|
||
Stollings JL,
|
||
Wang L,
|
||
Rice TW,
|
||
Semler MW;
|
||
Pragmatic Critical Care Research Group</span><br />
|
||
<span class="medgenPMjournal">JAMA Netw Open</span>
|
||
2020 Nov 2;3(11):e2024596.
|
||
doi: 10.1001/jamanetworkopen.2020.24596.
|
||
<span class="bold">PMID: </span><a href="/pubmed/33196806" target="_blank">33196806</a><a href="/pmc/articles/PMC7670314" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/32591997">Renal Tubular Acidosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Bagga A,
|
||
Sinha A</span><br />
|
||
<span class="medgenPMjournal">Indian J Pediatr</span>
|
||
2020 Sep;87(9):733-744.
|
||
Epub 2020 Jun 26
|
||
doi: 10.1007/s12098-020-03318-8.
|
||
<span class="bold">PMID: </span><a href="/pubmed/32591997" target="_blank">32591997</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/17936961">Metabolic acidosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Lim S</span><br />
|
||
<span class="medgenPMjournal">Acta Med Indones</span>
|
||
2007 Jul-Sep;39(3):145-50.
|
||
<span class="bold">PMID: </span><a href="/pubmed/17936961" target="_blank">17936961</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/2081516">Renal tubular acidosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Rothstein M,
|
||
Obialo C,
|
||
Hruska KA</span><br />
|
||
<span class="medgenPMjournal">Endocrinol Metab Clin North Am</span>
|
||
1990 Dec;19(4):869-87.
|
||
<span class="bold">PMID: </span><a href="/pubmed/2081516" target="_blank">2081516</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperchloremic%20metabolic%20acidosis%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (98)</a></div><h3 class="subhead">Diagnosis</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/39023331">A review of renal tubular acidosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Kunchur MG,
|
||
Mauch TJ,
|
||
Parkanzky M,
|
||
Rahilly LJ</span><br />
|
||
<span class="medgenPMjournal">J Vet Emerg Crit Care (San Antonio)</span>
|
||
2024 Jul-Aug;34(4):325-355.
|
||
Epub 2024 Jul 18
|
||
doi: 10.1111/vec.13407.
|
||
<span class="bold">PMID: </span><a href="/pubmed/39023331" target="_blank">39023331</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/34400023">Approach to Patients With High Anion Gap Metabolic Acidosis: Core Curriculum 2021.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Fenves AZ,
|
||
Emmett M</span><br />
|
||
<span class="medgenPMjournal">Am J Kidney Dis</span>
|
||
2021 Oct;78(4):590-600.
|
||
Epub 2021 Aug 13
|
||
doi: 10.1053/j.ajkd.2021.02.341.
|
||
<span class="bold">PMID: </span><a href="/pubmed/34400023" target="_blank">34400023</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/33196806">Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Self WH,
|
||
Evans CS,
|
||
Jenkins CA,
|
||
Brown RM,
|
||
Casey JD,
|
||
Collins SP,
|
||
Coston TD,
|
||
Felbinger M,
|
||
Flemmons LN,
|
||
Hellervik SM,
|
||
Lindsell CJ,
|
||
Liu D,
|
||
McCoin NS,
|
||
Niswender KD,
|
||
Slovis CM,
|
||
Stollings JL,
|
||
Wang L,
|
||
Rice TW,
|
||
Semler MW;
|
||
Pragmatic Critical Care Research Group</span><br />
|
||
<span class="medgenPMjournal">JAMA Netw Open</span>
|
||
2020 Nov 2;3(11):e2024596.
|
||
doi: 10.1001/jamanetworkopen.2020.24596.
|
||
<span class="bold">PMID: </span><a href="/pubmed/33196806" target="_blank">33196806</a><a href="/pmc/articles/PMC7670314" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/32591997">Renal Tubular Acidosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Bagga A,
|
||
Sinha A</span><br />
|
||
<span class="medgenPMjournal">Indian J Pediatr</span>
|
||
2020 Sep;87(9):733-744.
|
||
Epub 2020 Jun 26
|
||
doi: 10.1007/s12098-020-03318-8.
|
||
<span class="bold">PMID: </span><a href="/pubmed/32591997" target="_blank">32591997</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/17936961">Metabolic acidosis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Lim S</span><br />
|
||
<span class="medgenPMjournal">Acta Med Indones</span>
|
||
2007 Jul-Sep;39(3):145-50.
|
||
<span class="bold">PMID: </span><a href="/pubmed/17936961" target="_blank">17936961</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperchloremic%20metabolic%20acidosis%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (127)</a></div><h3 class="subhead">Therapy</h3>
|
||
<div class="nl"><a target="_blank" href="/pubmed/35358905">Balanced electrolyte solutions versus isotonic saline in adult patients with diabetic ketoacidosis: A systematic review and meta-analysis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Catahay JA,
|
||
Polintan ET,
|
||
Casimiro M,
|
||
Notarte KI,
|
||
Velasco JV,
|
||
Ver AT,
|
||
Pastrana A,
|
||
Macaranas I,
|
||
Patarroyo-Aponte G,
|
||
Lo KB</span><br />
|
||
<span class="medgenPMjournal">Heart Lung</span>
|
||
2022 Jul-Aug;54:74-79.
|
||
Epub 2022 Mar 28
|
||
doi: 10.1016/j.hrtlng.2022.03.014.
|
||
<span class="bold">PMID: </span><a href="/pubmed/35358905" target="_blank">35358905</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/33196806">Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Self WH,
|
||
Evans CS,
|
||
Jenkins CA,
|
||
Brown RM,
|
||
Casey JD,
|
||
Collins SP,
|
||
Coston TD,
|
||
Felbinger M,
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Flemmons LN,
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Hellervik SM,
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Lindsell CJ,
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Liu D,
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Slovis CM,
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Wang L,
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Semler MW;
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<div class="nl"><a target="_blank" href="/pubmed/30407838">Balanced Crystalloid Solutions.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Semler MW,
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<span class="bold">PMID: </span><a href="/pubmed/30407838" target="_blank">30407838</a><a href="/pmc/articles/PMC6467313" target="_blank" class="PubMedFree">Free PMC Article</a></div>
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<div class="nl"><a target="_blank" href="/pubmed/26588483">Intravenous balanced solutions: from physiology to clinical evidence.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Langer T,
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Santini A,
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Scotti E,
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Van Regenmortel N,
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Malbrain ML,
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Caironi P</span><br />
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<span class="medgenPMjournal">Anaesthesiol Intensive Ther</span>
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2015;47 Spec No:s78-88.
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Epub 2015 Nov 20
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doi: 10.5603/AIT.a2015.0079.
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<span class="bold">PMID: </span><a href="/pubmed/26588483" target="_blank">26588483</a></div>
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<div class="nl"><a target="_blank" href="/pubmed/17936961">Metabolic acidosis.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Lim S</span><br />
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2007 Jul-Sep;39(3):145-50.
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<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperchloremic%20metabolic%20acidosis%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (139)</a></div><h3 class="subhead">Prognosis</h3>
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<div class="nl"><a target="_blank" href="/pubmed/39395843">Hyperchloremic metabolic acidosis potentially benefiting sodium bicarbonate therapy: A multi-center cohort study.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Tong L,
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Wu S,
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Li D,
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Cao Y,
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Liu H</span><br />
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<span class="medgenPMjournal">Eur J Intern Med</span>
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2025 Feb;132:67-75.
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Epub 2024 Oct 11
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doi: 10.1016/j.ejim.2024.10.001.
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<span class="bold">PMID: </span><a href="/pubmed/39395843" target="_blank">39395843</a></div>
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<div class="nl"><a target="_blank" href="/pubmed/29198517">Choice of resuscitative fluids and mortality in emergency department patients with sepsis.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Sethi M,
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Owyang CG,
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Meyers C,
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Parekh R,
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<span class="medgenPMjournal">Am J Emerg Med</span>
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2018 Apr;36(4):625-629.
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<span class="bold">PMID: </span><a href="/pubmed/29198517" target="_blank">29198517</a></div>
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<div class="nl"><a target="_blank" href="/pubmed/29169447">Metabolic and Nutritional Consequences of Urinary Diversion Using Intestinal Segments to Reconstruct the Urinary Tract.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Roth JD,
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Koch MO</span><br />
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<span class="medgenPMjournal">Urol Clin North Am</span>
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2018 Feb;45(1):19-24.
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doi: 10.1016/j.ucl.2017.09.007.
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<span class="bold">PMID: </span><a href="/pubmed/29169447" target="_blank">29169447</a></div>
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<div class="nl"><a target="_blank" href="/pubmed/12870879">Cleistanthus collinus poisoning: case reports and review of the literature.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Eswarappa S,
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<span class="bold">PMID: </span><a href="/pubmed/12870879" target="_blank">12870879</a></div>
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<div class="nl"><a target="_blank" href="/pubmed/10592489">Follow-up after urinary diversion.</a></div>
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<div class="portlet_content ln"><span class="medgenPMauthor">Fichtner J</span><br />
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<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperchloremic%20metabolic%20acidosis%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (42)</a></div><h3 class="subhead">Clinical prediction guides</h3>
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||
<div class="nl"><a target="_blank" href="/pubmed/39395843">Hyperchloremic metabolic acidosis potentially benefiting sodium bicarbonate therapy: A multi-center cohort study.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Tong L,
|
||
Wu S,
|
||
Li D,
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||
Cao Y,
|
||
Liu H</span><br />
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<span class="medgenPMjournal">Eur J Intern Med</span>
|
||
2025 Feb;132:67-75.
|
||
Epub 2024 Oct 11
|
||
doi: 10.1016/j.ejim.2024.10.001.
|
||
<span class="bold">PMID: </span><a href="/pubmed/39395843" target="_blank">39395843</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/39077895">Lactated Ringer's versus normal saline in the management of acute diabetic ketoacidosis (RINSE-DKA).</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Jamison A,
|
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Mohamed A,
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Chedester C,
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Klindworth K,
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Hamarshi M,
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Sembroski E</span><br />
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<span class="medgenPMjournal">Pharmacotherapy</span>
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2024 Aug;44(8):623-630.
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Epub 2024 Jul 30
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doi: 10.1002/phar.4600.
|
||
<span class="bold">PMID: </span><a href="/pubmed/39077895" target="_blank">39077895</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/30407838">Balanced Crystalloid Solutions.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Semler MW,
|
||
Kellum JA</span><br />
|
||
<span class="medgenPMjournal">Am J Respir Crit Care Med</span>
|
||
2019 Apr 15;199(8):952-960.
|
||
doi: 10.1164/rccm.201809-1677CI.
|
||
<span class="bold">PMID: </span><a href="/pubmed/30407838" target="_blank">30407838</a><a href="/pmc/articles/PMC6467313" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/29169447">Metabolic and Nutritional Consequences of Urinary Diversion Using Intestinal Segments to Reconstruct the Urinary Tract.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Roth JD,
|
||
Koch MO</span><br />
|
||
<span class="medgenPMjournal">Urol Clin North Am</span>
|
||
2018 Feb;45(1):19-24.
|
||
doi: 10.1016/j.ucl.2017.09.007.
|
||
<span class="bold">PMID: </span><a href="/pubmed/29169447" target="_blank">29169447</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/26588483">Intravenous balanced solutions: from physiology to clinical evidence.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Langer T,
|
||
Santini A,
|
||
Scotti E,
|
||
Van Regenmortel N,
|
||
Malbrain ML,
|
||
Caironi P</span><br />
|
||
<span class="medgenPMjournal">Anaesthesiol Intensive Ther</span>
|
||
2015;47 Spec No:s78-88.
|
||
Epub 2015 Nov 20
|
||
doi: 10.5603/AIT.a2015.0079.
|
||
<span class="bold">PMID: </span><a href="/pubmed/26588483" target="_blank">26588483</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperchloremic%20metabolic%20acidosis%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (50)</a></div></div>
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||
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|
||
|
||
<div class="portlet mgSection" id="ID_104">
|
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_systematic_reviews">Recent systematic reviews</h1><a sid="104" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
|
||
<div class="portlet_content ln">
|
||
<div class="nl"><a target="_blank" href="/pubmed/35358905">Balanced electrolyte solutions versus isotonic saline in adult patients with diabetic ketoacidosis: A systematic review and meta-analysis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Catahay JA,
|
||
Polintan ET,
|
||
Casimiro M,
|
||
Notarte KI,
|
||
Velasco JV,
|
||
Ver AT,
|
||
Pastrana A,
|
||
Macaranas I,
|
||
Patarroyo-Aponte G,
|
||
Lo KB</span><br />
|
||
<span class="medgenPMjournal">Heart Lung</span>
|
||
2022 Jul-Aug;54:74-79.
|
||
Epub 2022 Mar 28
|
||
doi: 10.1016/j.hrtlng.2022.03.014.
|
||
<span class="bold">PMID: </span><a href="/pubmed/35358905" target="_blank">35358905</a></div>
|
||
|
||
<div class="nl"><a target="_blank" href="/pubmed/34991134">Balanced Versus Unbalanced Fluid in Critically Ill Children: Systematic Review and Meta-Analysis.</a></div>
|
||
<div class="portlet_content ln"><span class="medgenPMauthor">Lehr AR,
|
||
Rached-d'Astous S,
|
||
Barrowman N,
|
||
Tsampalieros A,
|
||
Parker M,
|
||
McIntyre L,
|
||
Sampson M,
|
||
Menon K</span><br />
|
||
<span class="medgenPMjournal">Pediatr Crit Care Med</span>
|
||
2022 Mar 1;23(3):181-191.
|
||
doi: 10.1097/PCC.0000000000002890.
|
||
<span class="bold">PMID: </span><a href="/pubmed/34991134" target="_blank">34991134</a><a href="/pmc/articles/PMC8887852" target="_blank" class="PubMedFree">Free PMC Article</a></div>
|
||
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hyperchloremic%20metabolic%20acidosis%22%20AND%20systematic%5Bsb%5D%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (2)</a></div></div>
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|
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<h2 class="offscreen_noflow">Supplemental Content</h2>
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<div class="portlet_content ln"><ul><li><a href="https://clinicaltrials.gov/search?cond=Hyperchloremic%20metabolic%20acidosis" target="_blank">ClinicalTrials.gov</a></li></ul></div>
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<div class="portlet_content ln"><ul class="a_poppers"><li><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(%22hyperchloremic%20metabolic%20acidosis%22%5Btiab%3A~0%5D)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">PubMed</a><div class="help-popup">See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div></li></ul></div>
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