No Diagnosis given, make the diagnosis A 43-year-old man with severe depression
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No Diagnosis given, make the diagnosis
A 43-year-old man with severe depression is brought into the emergency department after being found collapsed at home. His family states he had been recently despondent, and they had not heard from him for three days. On physical examination, he is unresponsive and tachypneic the with a respiratory rate of 41 breaths per minute despite a normal lung examination. His chest x-ray is unremarkable. And arterial blood gas shows a pH of 6.93, PA CO2 of 20, PaO2 of 100, and a HCO3 of 4 mEq/L. Serum electrolyte tests show an anion gap of 35.
What are the salient features of this patient’s problem?
How do you think through his problem?
What are the key features including essentials of diagnosis and general considerations of metabolic acidosis?
What are the symptoms and signs of metabolic acidosis?
What are the differential diagnosis of metabolic acidosis?
How do you calculate a serum anion gap versus a non-anion gap acidosis?
What are the laboratory findings in metabolic acidosis?
What are the treatments for metabolic acidosis?