MedBugs: SAQ #224

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Case: Methanol poisoning

A 31-year-old man presents with vertigo and blurred vision after ingesting home-distilled alcohol. He initially had vomiting and abdominal pain which subsequently resolved. VBG and laboratory investigations are performed. pH 7.19 pCO2 25 pO2 144 HCO3 12 BE -9 K 4.4 Na 140 Ca 1.2 Cl 100 Glu 3.0 Lac 6.4 Creat 65 Additional lab results show urea of 9, ethanol level of 0 and measured serum osmolality of 322 mOsmol/L

1. Analyse and interpret the results, showing your calculations. 4 marks

2. State the antidote used in Australia and the dosing regimen. 2 marks

3. List four indications for dialysis. 4 marks

4. List two potential long-term complications. 2 marks

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Case: Methanol poisoning

1. Analyse and interpret the results, showing your calculations. 4 marks

2. State the antidote used in Australia and the dosing regimen. 2 marks

3. List four indications for dialysis. 4 marks

4. List two potential long-term complications. 2 marks

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