KEY TAKE-HOME POINT: Always remember to include APAP on the differential diagnosis of high-anion-gap metabolic acidosis. A good mnemonic is A CAT MUDPILE:
- Aspirin
- Cyanide, carbon monoxide
- Acetaminophen
- Theophylline
- Methanol, metformin
- Uremia
- Diabetic ketoacidosis (or alcoholic ketoacidosis)
- Propylene glycol
- Iron, INH
- Lactic acidosis
- Ethyelene glycol
via Early metabolic acidosis and coma in massive acetaminophen overdose | The Poison Review.
This is simply a fun blog post.