293) A 31-year-old man is brought to the ED by EMS who states that the man was found lying on the floor of his garage. He is arousable in the ED, speaks with slurred speech, and vomits. Laboratory results reveal serum sodium 139 mEq/L, potassium 3.5 mEq/L, chloride 101 mEq/L, bicarbonate 14 mEq/L, BUN 15 mg/dL, creatinine 1 mg/dL, glucose 105 mg/dL, arterial blood pH 7.27, COHb 4%, and lactate 2.8 mEq/L. Urinalysis shows: 1+ protein, trace ketones, WBC 4/HPF, RBC 2 to 3/HPF, and multiple envelope-shaped and needleshaped crystals. His urine is placed under a Wood lamp as shown (Figure 24–7, see color insert section). Which of the following conditions would best explain his presentation? A. Carbon monoxide poisoning B. Ethylene glycol poisoning C. Diabetic ketoacidosis D. Lactic acidosis
Posted on: Sun, 08 Sep 2013 06:55:25 +0000
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