GOLDMARK – The New MUDPILES

So while reading AJKD I found the GOLDMARK mnemonic for anion gap metabolic acidosis by Ankit Mehta, Joshua and Micheal Emmett . It’s simple and works well, and I think it’s useful for hitting all the major causes of AGMA. I got tired of telling med students and residents to use propylene glycol instead of paraldehye (who uses it these days anyway) and I haven’t seen a patient on INH get AGMA yet so I’ll ignore it. Dr. Topf at Precious Bodily Fluids actually has the interesting story of the development of the new MUPILES…GOLDMARK!
Glycols (Ethylene and Propylene)
Oxoproline (see explaination in question 10 from here
L-Lactate (check out this piece on treating L-lactic acidosis here)
D-Lactate
Methanol
Aspirin
Renal Failure
Ketones
–Adrian