DB'S MEDICAL RANTS

Internal medicine, American health care, and especially medical education

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Answer to new acidosis case

I am trying an audio version of explanation for the case presented 4 days ago.  I need your feedback – do you like this strategy, or should I type out the answer.

Acidosis discussion

 

49-year-old man, previously in good health, presents after a few weeks of progressive weakness and dizziness.  He admits to polyuria.  Your job is to extensively discuss his lab tests.

Electrolyte panel
Na 147 Cl 104 BUN 28
K 4.7 HCO3 16 creat 1.3
Blood Sugar 678
ABG
pH 7.3
pCO2 33
pO2 68
calc HCO3 16
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