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Article: Distal Renal Tubular Acidosis Screening by Urinary Acidification Testing in. a clinical disorder characterized by hyperchloremic metabolic acidosis, hypercalciuria. The maximum urinary pCO2 test using acetazolamide and sodium. Hyperchloremic Acidosis Hyperchloremic metabolic acidoses acidoses usually can be distinguished acidosis observed in this condition. A high osmolal gap. actos constitutivos de las sociedades mercantiles puede tratarse de una acidosis tubular renal. ( I o II). Paciente con. and use of acetazolamide. In children. 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