Osmolal Gap without Anion Gap in a 43-Year-Old Man

Osmolal gap without anion gap in a 43-year-old man.

A 43-year-old man presented to the emergency department (ED) 2 h after ingesting 10 oz of antifreeze mixed with Gatorade in a suicide attempt. The antifreeze was green, of an unknown brand, and purchased at a local gas station. He subsequently confessed to his wife, who brought him to a community hospital ED. He denied abdominal pain, nausea, vomiting, urinary symptoms, or visual changes. Initi...

Osmolal gap in hemodialyzed uremic patients.

Osmolality is an expression of the number of particles in a given weight of solvent (mOsm). Measured osmolality is determined by the osmometer, and calculated osmolality is estimated by 2xNa + UN/2.8 + glucose/18. The difference between measured and calculated osmolality is the osmolal gap. The purpose of the present study is to determine the measured and the calculated osmolality and the osmol...

A 37 year old man with intermittent abdominal pain and non-lactic, non-ketone, high anion gap metabolic acidosis.

CASE REPORT A 37 year old man was admitted to the accident and emergency department complaining of intermittent abdominal pain and malaise for one month with nausea and vomiting for the past 3 days. His past medical history was unremarkable and his only medication was paracetamol. On examination he was in sinus rhythm at a rate of 72 beats per minute, respiratory rate 28 per minute, temperature...

Self-assessment corner Palpitations in a 43-year-old man

Chronic thromboembolic disease in a 43-year-old man.

Case Report A 43-year-old man was admitted to the hospital complaining of nonproductive cough, progressive shortness of breath, increasing dyspnea on exertion, and fatigue of approximately 3 months’ duration. The patient stated he could no longer walk without shortness of breath. He denied syncope, lightheadedness, palpitations, chest pain, wheezing, hemoptysis, fever, weight change, or night s...