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Original Question

Case 4 A 13-year-old male was brought to the emergency department after his mother found him staggering about in a somewhat confused, noncommunicative state. One of his friends told his mother that her son had been given some “bad moonshine”. Laboratory data are given below. The patient was admitted to the hospital for treatment and observation. Following supportive fluid therapy for 24 hours, the patient was released to family care. The following results were obtained upon admission: Sodium 136 mmol/L Glucose 85 mg/dL BUN 8 mg/dL Alcohol (ethanol) 0 mg/dL Serum osmolality 306 mOsm/kg 1. What is the patient’s osmolal gap? Show all calculations. 2. What is the Reference Interval for the osmolal gap? 3. How would you interpret this patient’s osmolal gap? 5. In general, how can the osmolal gap be applied for rapid assessment of a patient’s condition? help

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