A 46-year-old man arrives with visual blurring and abdominal pain after drinking homemade alcohol. Triage acuity is ESI 2; BP 116/68 mm Hg, HR

Question

A 46-year-old man arrives with visual blurring and abdominal pain after drinking homemade alcohol. Triage acuity is ESI 2; BP 116/68 mm Hg, HR 104/min. Labs show pH 7.18, anion gap 28, and osmolar gap 34. Fundoscopy shows hyperemic optic discs. Which of the following is the most likely diagnosis?

Accepted Answer

Methanol poisoning

Answer

Isopropanol intoxication

Answer

Diabetic ketoacidosis

Answer

Lactic acidosis from sepsis

Answer

Ethylene glycol poisoning

Methanol toxicity — ABEM Board MCQ

A 46-year-old man arrives with visual blurring and abdominal pain after drinking homemade alcohol. Triage acuity is ESI 2; BP 116/68 mm Hg, HR 104/min. Labs show pH 7.18, anion gap 28, and osmolar gap 34. Fundoscopy shows hyperemic optic discs. Which of the following is the most likely diagnosis?