Gas Goblin: Case #21
The Fire in the Belly
A 73-year-old man presents with severe abdominal pain, peritonism and fever. He is tachypnoeic, hypotensive and confused.
- ABG
- pH: 7.32 (7.35 – 7.45)
- pO₂: 72 mmHg (75 – 100)
- pCO₂: 25 mmHg (35 – 45)
- HCO₃⁻: 12 mmol/L (22 – 26)
- BE: -14 mmol/L (-3 – 3)
- SaO₂: 95 % (94 – 100)
- Na⁺: 138 mmol/L (135 – 145)
- K⁺: 4.3 mmol/L (3.5 – 5.5)
- Cl: 100 mmol/L (95 – 110)
- Ca: 1.15 mmol/L (1.12 – 1.3)
- Lactate: 6 mmol/L
- Glucose: 9 mmol/L (4 – 8)
- Urea: 10 mmol/L
- Creatinine: 125 μmol/L
- Osmolarity: 295 mOsm/L
- COHb: 1 % (0.2 – 2)
- MetHb: 1 %
- fiO2: 0.4
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