Lab case 425

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51 year old man, recently returned from the middle east, presented with shortness of breath. His CXR was normal. His arterial blood gases showed the following:

PH = 7.51

PaCO2 = 28 mmHg

PO2 = 56 mmHg

HCO3 = 23 mmol/L

Na = 141 mmol/L

K = 5.3 mmol/L

Cl=107 mmol/L

Glucose = 6.1 mmol/L

Lactate = 2.5 mmol/L

Creatinine = 73 umol/L

 

Questions:

  1.  Interpret the results
  2.  What is your diagnosis and diffrential diagnosis
  3.  How will you manage this case