Which of the following is a cause of metabolic acidosis with normal anion gap?: (A) Diabetic ketoacidosis, (B) Aspirin poisoning, (C) Lacts acidosis, (D) Renal tuburlar acidosis
Answer is D. Metabolic Acidosis Normal anion gap acidosis (low serum HCO3 but normal anion gap) is caused by excess bicarbonate loss from either the gut (diarrhea) or kidney (renal tubular acidosis). An elevated or so-called positive anion gap suggests the presence of another unmeasured anion Ref Davidson 23rd edition pg 364