Question:

A person comes to the emergency department after consumption of a substance, the form and dose of which is not known to relatives. The patient shows tachypnea, hypotension. On metabolic assessment, high anion gap acidosis is noted with hypocalcemia. Diagnosis?

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Ethylene glycol poisoning can be life-threatening, with metabolic acidosis and hypocalcemia being key diagnostic signs.
Updated On: Mar 24, 2025
  • Methyl alcohol
  • Ethylene glycol
  • Dhatura
  • Ethyl alcohol
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The Correct Option is B

Solution and Explanation

Ethylene glycol poisoning typically presents with metabolic acidosis, tachypnea, hypotension, and hypocalcemia. It is metabolized to glycolic acid and oxalic acid, which contribute to the high anion gap acidosis. The presence of hypocalcemia is a characteristic finding in ethylene glycol toxicity.
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