A 65-year-old man with chronic excessive alcohol use presents with 24 hours of abdominal pain and vomiting. BP is 110/50 mmHg, HR 120/min, RR 26/min, oxygen saturation 95% on air, temperature 37 C, and GCS 15. Investigations are shown below.
| Test |
Result |
Reference range |
| Sodium |
135 mmol/L |
134-146 |
| Potassium |
4.0 mmol/L |
3.4-5.0 |
| Chloride |
85 mmol/L |
98-106 |
| Bicarbonate |
12 mmol/L |
22-28 |
| Urea |
12.5 mmol/L |
2.5-6.4 |
| Creatinine |
0.05 mmol/L |
0.05-0.1 |
| Glucose |
6.8 mmol/L |
|
| Lactate |
2.0 mmol/L |
|
| Total bilirubin |
15 micromol/L |
0-20 |
| Protein |
64 g/L |
60-80 |
| Albumin |
31 g/L |
33-47 |
| Alkaline phosphatase |
85 U/L |
30-100 |
| LDH |
210 U/L |
120-250 |
| GGT |
250 U/L |
0-50 |
| AST |
90 U/L |
0-35 |
| ALT |
50 U/L |
0-40 |
| Urine dipstick |
Ketones ++; otherwise normal |
|
State a unifying diagnosis.
(Marked out of 1.0)
/ 1
List six (6) investigation findings that support the diagnosis.
(Marked out of 6.0)
/ 6
List five (5) key treatments to commence during the first 30 minutes.
(Marked out of 5.0)
/ 5
Total Score: 0 / 12
Percentage: 0%
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