Gold with hydrofluoric, hydrochloric, hydrobromic, hydriodic, sulfuric, or nitric acid. It does react with selenic acid, and is dissolved by aqua regia, a 1:3 mixture of nitric acid and hydrochloric acid. Nitric acid oxidizes the metal to +3 ions, but only in minute amounts, typically undetectable in the pure acid because of the chemical equilibrium of the reaction. However, the ions are removed from the equilibrium by hydrochloric acid, forming AuCl ions, or chloroauric acid, thereby enabling further oxidation. Gold is similarly unaffected by most bases. It does not react with aqueous, solid, or molten sodium or potassium hydroxide. It does
Acid perfusion test hoarseness, chronic cough, then 24 hr pH monitoring should be considered. Acid perfusion test Acid perfusion test, also called the Bernstein test, is a test done to reproduce the pain when the lower esophagus is irrigated with an acid solution in people with GERD (gastroesophageal reflux disease). There will be a negative result in normal people, but a false positive reading may be seen in up to 15% of people. Bernstein test is obsolete nowadays. 24 hour pH monitoring is the gold standard for GERD. However, the initial management is with proton pump inhibitors. If the patient does not respond