I did mention measurement of urinary anion gap which
involves chloride measurement. But you are right, as
random chloride measurement can help in the
differential diagnosis of hypochloraemic metabolic
alkalosis. If chloride loss is from GIT then urinary
chloride is undetectable but if the loss is renal (due
to diuretics, primary renal tubular hypokalaemic
alkalosis as in Bartter's syndrome)then urinary
chloride is usually > 20 mmol/L.
regards.
--- James Miller <[log in to unmask]>
wrote: > One not mentioned so far is the use of random
urine
> chloride in the differential diagnosis of metabolic
> alkalosis.
>
> James J Miller, Ph.D., DABCC
> Associate Professor
> Dept. of Pathology & Laboratory Medicine
> University of Louisville
> Louisville, KY 40292
>
> Office:502-852-1179; Pager: 478-1219
>
=====
Dr. M A Al-Jubouri
Consultant Chemical Pathologist
Whiston Hospital
Prescot
Merseyside L35 5DR
UK
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