Cite this post as:
Guest Author. You Don’t Understand the Osm Gap – Guest Post by Rory Spiegel. EMCrit Blog. Published on August 25, 2015. Accessed on December 4th 2022. Available at [https://emcrit.org/emnerd/osm-gap/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: August 25, 2015
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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Thank you for the great post! Things got alot more clear how/why ketonuria is associated with ketonaemia.
Could you also help with understanding the physiology behind ketone accumulation in the setting on dehydration? I.E. patient with acute gastritis presenting with >15mmol/l ketonuria with no background of diabetes of carbohydrate metabolism disturbances which fully resolves after fluid resuscitation.
Hi! Why does not ethanol increase anion gap when it is metabolized?