Renal tubular acidosis RTA

• Facts:
  Inability to secrete hydrogen or reabsorb bircarbonate
  Results in a non-anion gap metabolic acidosis
  Three main types
• History / PE:
  Presents as failure to thrive in infants
• Diagnosis:
  RTA Type I (distal)
  RTA Type II (proximal)
  RTA Type IV (distal, MC form)
• Treatment:
  Goal is to neutralize the acid in the blood
• Complications:
  Chronic acidity of the blood leads to growth retardation, kidney stones, bone disease, chronic kidney disease , and ESRD