MUDPILES — Wide-anion-gap metabolic acidosis
Causes of high-anion-gap metabolic acidosis
Mnemonic device
MUDPILES
Mapping
M
Methanol
U
Uremia
D
Diabetic ketoacidosis (DKA)
P
Propylene glycol / paraldehyde
I
Isoniazid / iron
L
Lactic acidosis (sepsis, ischemia, shock — most common in OR)
E
Ethylene glycol
S
Salicylates
Clinical note: Modern alternative: GOLDMARK (Glycols, Oxoproline, L-lactate, D-lactate, Methanol, Aspirin, Renal failure, Ketoacidosis). MUDPILES is the classic boards-friendly version.