Question

Two years after the initial appointment the man presents at the hospital. He has been vomiting for two days following a fishing trip and has reported large amounts of bloodin vomit (suspected gastroesophageal variceal bleeding). He now weighs 102kg and presented with low blood pressure onadmission. Use the results from blood and urine analysis below for the rest of the calculations. Plasma Urine Result 126 mmol/L 6.4 mmol/L 12 mmol/L 93 mmol/L 15 mmol 30 mmH 200μmol/L Reference Range 133-143 3.6-4.6 24-32 98-108 3.0-7.0 35-45 60-120 Result Reference Range Dipstick Protein Blood Albumin/Creatinine 0.41g/g <0.017 Casts Dipstick Glucose Osmolalit Na Creatinine Na Positive нсоз Cl Urea pCO2 Creatinine Glucose (fasting) 4.0 mmol/L 2.8-6.0 Albumin TG Total Chol НЬ" HbAlc Negative Negative 875 14 mmol 9 mmol/L 500-850 24 g/L 4.0 5.2 120g/I 8.5% 33-55 Whole blood analysis <5.5 130-150 7%

please explain more detail, thank you so much

Answer 1

The person is suffering from acidosis .The condition can be clearly claimed as acidosis by looking the amount of HCO3 in his test report . The person has lower amount of bicarbonate ions than the normal range . Due to the acidity is increased in his body leading to the condition of acidosis.The person may suffer from headache and can easily be fainted down.

Calculation of anion gap AG = Cation - Anion

= Sodium + Potassium - chloride + Bicarbonate = 126+6.4-12+93= 27.4

The normal AG value is around 10 - 20 but person has high anion gap easily indicates the condition of acidosis.