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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