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An acid base puzzle

April 30, 2008

Electrolyte panel
Na 141 Cl 112 BUN 18
K 4.3 HCO3 15 creat 0.7
Blood Sugar 105
ABG
pH 7.33
pCO2 25
pO2 103
calc HCO3 13

She is 32 and has a long history of Crohn’s disease, with an ileostomy. Consider the differential diagnosis, and recommend tests to prove your hypothesis.

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