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Ethylene glycol poisoning

Foundational SciencesPharmacologyToxicologyEnvironmental and chemical toxicities

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Ethylene glycol poisoning

Toxicology

Environmental and chemical toxicities

Arsenic poisoning
Cyanide poisoning
Ethylene glycol poisoning
Lead poisoning
Mercury poisoning
Methemoglobinemia

Medication toxicities and overdoses

Neuroleptic malignant syndrome
Paracetamol toxicity
Serotonin syndrome

Toxicology review

Medication overdoses and toxicities: Pathology review
Environmental and chemical toxicities: Pathology review

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Ethylene glycol poisoning

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Questions

USMLE® Step 1 style questions USMLE

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A 40-year-old man is brought to the emergency department because of altered mental status. He appears disoriented and agitated. Per review of the medical record, past medical history is notable for hypertension. He has a 35-year smoking history and consumes 5-7 beers per day. Temperature is 37.2°C (99.0°F), pulse is 100/min, respirations are 25/min, and blood pressure is 148/55 mmHg. On physical examination, the patient is oriented to self but not place or time. His pupils are equal and reactive to light, and fundoscopic examination is unremarkable. Laboratory testing is performed and shown below. Which of the following additional findings will most likely be present in this patient?