An 18-year-old woman is brought to your ED by her concerned family, who report weight loss and increasing lethargy. She engages only superficially with assessment. The following VBG is performed.
| VBG parameter |
Value |
| pH |
7.54 |
| pCO2 |
92 mmHg |
| pO2 |
28 mmHg |
| HCO3 |
70 mmol/L |
| Hb |
154 g/L |
| Na |
132 mmol/L |
| K |
2.9 mmol/L |
| Ca |
1.05 |
| Cl |
?? |
| Glucose |
4.2 mmol/L |
| Lactate |
4.5 mmol/L |
State four (4) significant abnormalities in the VBG, including calculations where relevant.
(Marked out of 4.0)
/ 4
List four (4) differential diagnoses for this patient.
(Marked out of 4.0)
/ 4
The patient now says she wants to leave, but her parents disagree. State four (4) essential elements required to demonstrate competence.
(Marked out of 4.0)
/ 4
Total Score: 0 / 12
Percentage: 0%
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