A 46-year-old man who drinks a bottle of spirits most days has vomited for three days and eaten nothing; he st…

Question

A 46-year-old man who drinks a bottle of spirits most days has vomited for three days and eaten nothing; he stopped drinking two days ago. He is alert, with epigastric tenderness and deep sighing respiration. Venous glucose 4.1 mmol/L, sodium 136 mmol/L, chloride 96 mmol/L, bicarbonate 11 mmol/L [22-32], creatinine 78 micromol/L, lactate 1.8 mmol/L [less than 2.0], beta-hydroxybutyrate 5.2 mmol/L [less than 0.6]. Measured and calculated osmolalities agree. Which one of the following explains his…

Accepted Answer

Alcoholic ketoacidosis

Answer

Diabetic ketoacidosis

Answer

Ethylene glycol poisoning

Answer

Sepsis with lactic acidosis

Answer

Starvation ketosis

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