A middle-aged homeless man with heavy alcohol use and frequent ED attendance presents with vomiting, abdominal pain and dehydration.
He is tachycardic and tachypnoeic, afebrile, has normal glucose and serum ketones of 10 mmol/L. VBG results are shown.
| Parameter |
Value |
| pH |
7.40 |
| pCO2 |
38 mmHg |
| pO2 |
80 mmHg |
| Potassium |
3.2 mmol/L |
| Sodium |
134 mmol/L |
| Chloride |
88 mmol/L |
| Glucose |
5.8 mmol/L |
| Lactate |
2.5 mmol/L |
| Creatinine |
118 micromol/L |
| Bicarbonate |
20 mmol/L |
Interpret the VBG.
(Marked out of 6.0)
/ 6
Give the most likely diagnosis and relevant differential diagnoses.
(Marked out of 2.0)
/ 2
Outline your management plan.
(Marked out of 4.0)
/ 4
Total Score: 0 / 12
Percentage: 0%
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