April 2019 Critical Care Case of the Month: A Severe Drinking Problem
Monday, April 1, 2019 at 8:00AM
Rick Robbins, M.D. in anion gap, diagnosis, ethylene glycol, fomepizole, mental status, metabolic acidosis, mudpiles, oxalate, stroke, treatment

Francisco J. Marquez II MD

Department of Pulmonary and Critical Care Medicine

Banner University Medical Center/University of Arizona – Phoenix

Phoenix, AZ USA


Critical Care Case of the Month CME Information

Completion of an evaluation form is required to receive credit and a link is provided on the last page of the activity. 

0.50 AMA PRA Category 1 Credit(s)™

Estimated time to complete this activity: 0.50 hours

Lead Author(s): Franciso Marquez, MDAll Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they do not have any relevant financial relationships with commercial interests that would constitute a conflict of interest concerning this CME activity.

Learning Objectives: As a result of completing this activity, participants will be better able to:

  1. Interpret and identify clinical practices supported by the highest quality available evidence.
  2. Establish the optimal evaluation leading to a correct diagnosis for patients with pulmonary, critical care and sleep disorders.
  3. Translate the most current clinical information into the delivery of high quality care for patients.
  4. Integrate new treatment options for patients with pulmonary, critical care and sleep related disorders.

Learning Format: Case-based, interactive online course, including mandatory assessment questions (number of questions varies by case). Please also read the Technical Requirements.

CME Sponsor: The University of Arizona College of Medicine-Tucson

Current Approval Period: January 1, 2019-December 31, 2020

Financial Support Received: None


History of Present Illness

A 55-year-old Caucasian man, presented to an outside hospital with altered mental status.

Past Medical/Social History

Physical Exam

Which of the following should be obtained or done in his initial evaluation? (Click on the correct answer to proceed to the second of six pages)

  1. CBC
  2. Electrolytes
  3. Give naloxone (Narcan®) and glucose
  4. 1 and 3
  5. All of the above

Cite as: Marquez FJ II. April 2019 critical care case of the month: A severe drinking problem. Southwest J Pulm Crit Care. 2019;18(4):67-73. doi: https://doi.org/10.13175/swjpcc003-19 PDF 

Article originally appeared on SOUTHWEST JOURNAL of PULMONARY & CRITICAL CARE (http://www.swjpcc.com/).
See website for complete article licensing information.