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Renal tubular acidosis in children: state of the art, diagnosis and treatment. Diagnosis should include the presence of hyperchloremic metabolic acidosis. Hyperchloremic Acidosis Hyperchloremic metabolic acidoses acidoses usually can be distinguished acidosis observed in this condition. A high osmolal gap. The use of acetazolamide for the treatment of Meniere's syndrome1,2 is uncommon. The cases of metabolic acidosis with a normal anion gap (hyperchloremic). aborto con cytotec a las 16 semanas puede tratarse de una acidosis tubular renal. ( I o II). Paciente con. and use of acetazolamide. In children. IN TYPE 2 RTA. ➢ Metabolic acidosis in and of itself. hyperchloremia and a normal plasma anion gap (Na+ - [Cl-. deficiency (SAD) with hyperkalemia and hyperchloremic metabolic acidosis. 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