11-01-2014, 03:40 PM
A mother rushes her 4-year-old son into the emergency department after finding him passed out in the garage. She says that she found him unresponsive, lying face down on the floor of their garage, and when she tried to revive him by giving mouth to mouth, she noted a sweet taste on his lips. On physical exam, the patient is unarousable with temperature of 37.5 degrees, BP 110/60, HR 95 and RR of 20. The rest of the exam is unremarkable. A stat metabolic panel reveals:
Na: 135
K: 3.4
Cl: 99
HCO3: 16
BUN: 18
Cr: 0.9
Glucose: 99
A urine microscopy reveals envelope-shaped crystals. What was the most likely cause of this child's coma?
a. Alcohol
b. Aspirin
c. Diabetic ketoacidosis
d. Ethylene glycol
e. Methanol
Na: 135
K: 3.4
Cl: 99
HCO3: 16
BUN: 18
Cr: 0.9
Glucose: 99
A urine microscopy reveals envelope-shaped crystals. What was the most likely cause of this child's coma?
a. Alcohol
b. Aspirin
c. Diabetic ketoacidosis
d. Ethylene glycol
e. Methanol
