MedBugs: SAQ #505

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Case: Ethylene glycol poisoning

A 58 year old man has been found at his home with altered conscious state after a suspectedingestion of engine coolant liquid.

HR 100
BP 145/80

T 34

SpO2 98% RA
GCS 7 (E3V1M3)

pH 7.03 pCO2 23 pO2 141 HCO3 6 BE -23 Na 149 Cl 112 K 4.9 Lac 21 Glucose 4 Urea 17.3 Creat 261 Serum lactate 8 Serum osmolality 335

1. List (4) findings with associated calculations, if needed, from the above results that are suggestive of ethylene glycol toxicity. 4 marks

2. List (2) further findings on other investigations that, if elevated or abnormal, are pathognomonic for ethylene glycol toxicity. 2 marks

3. Complete the table below for the (3) stages and features of ethylene glycol toxicity. 6 marks

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Case: Ethylene glycol poisoning

1. List (4) findings with associated calculations, if needed, from the above results that are suggestive of ethylene glycol toxicity. 4 marks

2. List (2) further findings on other investigations that, if elevated or abnormal, are pathognomonic for ethylene glycol toxicity. 2 marks

3. Complete the table below for the (3) stages and features of ethylene glycol toxicity. 6 marks

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