SAQ 1839 – Metabolic acidosis and abdominal pain in an unwell child

A previously well 2-year-old boy presents acutely unwell with tachypnoea and abdominal pain. Venous blood gas results are pH 7.20, pCO2 25, bicarbonate 10, base excess -16.4, potassium 4.5, sodium 138 and chloride 96.

List the further investigations you request at this time, with justification for each.

(Marked out of 7.0)

/ 7

What are the three most concerning potential diagnoses for this child?

(Marked out of 3.0)

/ 3

Total Score: 0 / 10

Percentage: 0%