Relatively easy day – just the resident, 1 intern and me rounding on 6 patients. We had an interesting acid-base puzzle. The patient is in his 50s and has known hep C positivity (possible cirrhosis) and recent nephrotic syndrome. How do you dissect information just from his electrolyte panel. One other hint – his albumin is 2.2.
| Electrolyte panel | |||||
|---|---|---|---|---|---|
| Na | 141 | Cl | 108 | BUN | 67 |
| K | 4.1 | HCO3 | 18 | creat | 7.9 |
| Blood Sugar | 90 |
