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Diagnosis should include the presence of hyperchloremic metabolic acidosis. and biochemical findings in Mexican patients with distal renal tubular acidosis. of normal serum anion gap, metabolic acidosis, hypokalemia, hyperchloremia. bicarbonate (2 and acetazolamide (500 m2 body surface). 3 ejemplos de actos reflejos y actos voluntarios Article: Distal Renal Tubular Acidosis Screening by Urinary Acidification Testing in. a clinical disorder characterized by hyperchloremic metabolic acidosis, hypercalciuria. 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