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Key Points ▪ The presence of a significant acid-base abnormality often signals a sinister underlying problem. ▪ All acid-base abnormalities result from alterations in the dissociation of water. ▪ Only three factors independently affect acid-base balance—the arterial partial pressure of…
Case Synopsis A 56-year-old taxi driver presented to the emergency department (ED) with a 2-day history of abdominal pain and intractable vomiting. He was diagnosed with acute small bowel obstruction. His blood gas (room air) and chemistry panel on arrival…