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🚽 Stool Osmotic Gap

UseWhen to use: chronic watery diarrhea workup with stool electrolytes.

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Strata>50 osmotic cue; <50 secretory cue (teaching cutoffs).

LimitsWhen not to use: old/unrefrigerated samples (osm drifts). · Pitfall: assuming 290 when measured osm available. · Integrate laxative and diet history.

SourceStandard stool osmotic-gap teaching

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.

Methodology · worked example, guidelines & full notes
Clinical takeaway

2×(Na+K).

When to use

When to use: chronic watery diarrhea workup with stool electrolytes.

How it works

Gap = stool_osm − 2×(Na+K) (assume 290 if osm not measured).

Key points

  • 2×(Na+K).
  • >50 vs <50.
  • Next: workup branch.

References

  • Standard stool osmotic-gap teaching

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Stool Na30 mEq/L
Stool K40 mEq/L
Measured stool osmolality (optional)290 mOsm/kg

→Osmotic gap150mOsm/kg

  • Osm used:290 (measured)
  • 2×(Na+K):140
  • Cue:>50 — osmotic diarrhea cue (laxatives, malabsorption, Mg)
Verification & sources · governance
FAQ

Frequently asked questions

Does Stool Osmotic Gap upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Stool Osmotic Gap calculated in practice? Can you show a worked example?
Inputs: Stool Na 30 mEq/L, Stool K 40 mEq/L, Measured stool osmolality (optional) 290 mOsm/kg → Result: Osmotic gap 150 mOsm/kg(Osm used: 290 (measured), 2×(Na+K): 140, Cue: >50 — osmotic diarrhea cue (laxatives, malabsorption, Mg))
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