A 24-year-old Himalayan man was accepted to graduate school in the United States

Question

A 24-year-old Himalayan man was accepted to graduate school in the United States. Before leaving home, he had an extensive physical exam that included various blood tests. When the medical staff at the US university reviewed his medical records, it was noted that all test results were normal except the HCO_3^-, which was 15 mmol/L (reference range, 22 to 26 mmol/L). The HCO_3^- was done separately on a serum sample. It was not part of a blood gas panel. To rule out nonrespiratory acidosis, the university physician wanted the HCO_3^- repeated. The repeated value was 24 mmol/L. Was the initial assumption of a nonrespiratory acidosis valid? What would be a better description of the acid-base disturbance? Why, on repeat testing, did the HCO_3^- return to normal?

Explanation / Answer

Answer:

1. Yes, it was a case non respiratory acidosis. Which may be due to imbalance between Oxygen and carbon dioxide levels in the body.

2. It may be due change in the pH of the blood from the normal range. Which is due change in the levels bicaronate in the body.

3. The imbalance between oxygen intake and CO2 out going balanced, because of this reason it shows normal.

3.

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