A member asked:

Low co2, elevated anion gap, elevated ph of 7.5, low creatinine of . 2 in toddler with slow growth born prematurely at 31 weeks ga & 2 vessel cord?

A doctor has provided 1 answer

Consider...: ...The possibility of a genetic or metabolic disease which will create excess anions (the anion "gap"). Examples would include Lactic Acid built up in cells that undergo anaerobic metabolism, or acids that build up such as ketoacids in the face of diabetes. A 2 vessel cord suggests a kidney or genetic anomaly and should have a genetics and nephrology evaluation.

Answered 7/12/2020

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