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13th March 2024
A 31-year-old man was brought into the emergency department yesterday at 2pm
A 31-year-old man was brought into the emergency department yesterday at 2pm by the police who said he was being ‘drunk and disorderly’. On examination, his HR is 130, respiratory rate is 24, and BP is 160/125. You also notice nystagmus and ataxia. ECG reveals sinus tachycardia.
ABG results show the following:
| pH (7.35 – 7.45) | 7.23 |
| Na (135-145 mmol/L) | 141 |
| K (3.5 – 5.0 mmol/L) | 3.7 |
| Cl (95-105 mmol/L) | 112 |
| HCO3- (22 – 26 mmol/L) | 14 |
Which of the following is the most likely diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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