30-year-old Laura Bennett

Psychiatry

Scenario:
30-year-old woman presents to ED with severe nausea and abdominal discomfort

Instructions for Submission:

Take a history from the patient.
Provide your suspected diagnosis based on the history, outline the physical examination you would perform, list the investigations you would consider, and suggest a potential management plan.
Click "Submit" to receive feedback.

Initial Findings

ABG

Parameter	Value	Reference Range
pH	7.30	7.35 - 7.45
pCO2	38 mmHg	35 - 45 mmHg
pO2	95 mmHg	75 - 100 mmHg
HCO3- (Bicarbonate)	18 mmol/L	22 - 26 mmol/L
Base Excess (BE)	-6	-2 to +2
Lactate	2.2 mmol/L	0.5 - 2.0 mmol/L
SaO2 (Oxygen Saturation)	98%	>95%

Blood pressure: 115/85 mmHg
Heart rate: 110 bpm, regular
Temperature 36.7 degrees
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Diagnosis: On Examination: Investigations: Management:

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