A 46-year-old man presents to an Auckland ED, triage category 1, with visual blurring and hyperventilation after drinking home-distilled spirits. pH

Question

A 46-year-old man presents to an Auckland ED, triage category 1, with visual blurring and hyperventilation after drinking home-distilled spirits. pH 7.05, bicarbonate 8 mmol/L, osmolar gap 34 and anion gap 29. Ethanol level is low. What is the most likely diagnosis?

Accepted Answer

Methanol poisoning

Answer

Diabetic ketoacidosis

Answer

Ethylene glycol poisoning

Answer

Salicylate poisoning

Answer

Cyanide poisoning

Methanol poisoning — ACEM Fellowship MCQ

A 46-year-old man presents to an Auckland ED, triage category 1, with visual blurring and hyperventilation after drinking home-distilled spirits. pH 7.05, bicarbonate 8 mmol/L, osmolar gap 34 and anion gap 29. Ethanol level is low. What is the most likely diagnosis?