<prompt> Increased anion gap seen in all EXCEPTEthyleneglycolDiabetic ketoacidosisRenal tubular acidosisLactic acidosis  <response>: Renal tubular acidosis 808-CMDT-10, 289-H17th Normal anion gap AG 6-12 mmolL and is calculated as follows AG Na - Cl- HCO3ANION - GAP IN METABOLIC ACIDOSISNORMAL 6-12 mEqINCREASED 12mEq LossofHCOJ- Diarrhea- Recovery from DKA- Pancreatic fluid loss ileostomy- Carbonic anhydrase inhibitors Chloride retension- Renal tubular acidosis- Ileal loop bladder Administration of HC1 equivalent or NH4C1 Arginine and lysine in parenteral nutritionMetabolic anion- DKA- Alcoholic ketoacidosis- Lactic acidosis- Chronic kidney disease advanced stages- Starvation- Metabolic alkolosis Renal failure Acute and chronicDrugs or chemical anion- Salicylate intoxication- Sodium carbenicilline therapy- Methanol formic acid- Ethylene glycol oxalic acid- Propylene glycol- Pyroglutamic acidDECREASED 6 mEq Hypo albuminemia decreased unmeasured anion Plasma cell dyscrasiasMonoclonal protein cationic para protein accompanied by chloride and bicarbonate Bromide intoxication It consist of for the most part of proteins in the anion form HPO 4 , SO 4 and organic acids. The unmeasured cations and K, Ca, or Mg Positive Urinary anion gap - Implies renal loss of bicarbonates and DX is usually distal RTA Negative urinary anion gap - Implies GI loss of bicarbonate - Diarrhea Metabolic acidosis 