A 34-Year-Old Man with Upper Gastrointestinal Bleeding Is Brought to the Local

question 306

Multiple Choice

A 34-year-old man with upper gastrointestinal bleeding is brought to the local emergency department by ambulance.  He was found in front of a grocery store after customers called emergency medical services.  The patient is unable to provide any information, but his medical records show a history of alcohol use disorder.  After undergoing emergency evaluation and appropriate resuscitation, his condition stabilizes.  Gastric lavage fluid initially contained blood but cleared quickly.  Upper endoscopy shows a linear mucosal tear at the gastroesophageal junction.  The process directly responsible for causing this patient's mucosal tear will most likely result in which of the following acid-base disturbances?

• A)High anion gap metabolic acidosis
• B)Metabolic alkalosis
• C)Normal anion gap metabolic acidosis
• D)Respiratory acidosis
• E)Respiratory alkalosis

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Definitions:

Middle Minoan Period

A phase in the Minoan civilization of ancient Crete, noted for significant developments in art, architecture, and societal organization, circa 2000-1600 BCE.

Palatial Complex

A grand and expansive set of buildings used as the residence of a sovereign or noble, often comprising various wings and courtyards.

Landscape Painting

An art genre that depicts natural scenery such as mountains, valleys, trees, rivers, and forests, primarily focusing on the beauty of the natural world.

Frontal Eye

In art, refers to the stylized representation of an eye seen in profile, but with the iris and pupil depicted as if viewed from the front.