A 21-year-old man is brought to the emergency department by his roommate because of altered mental status. He found him covering his ears and shouting near the house . . Upon questioning, he was unable to look directly at the physician and answer coherently., he reported feeling nauseous and vomited twice. His temperature is 38.2°C (100.8°F), pulse is 100/min, respirations are 28/min, and blood pressure is 110/77 mm Hg. Physical examination shows normal-sized reactive pupils and clear lungs. There is tenderness over the epigastric area. He is admitted to the hospital for evaluation. Three hours after admission, he has a tonic-clonic seizure. Laboratory studies show:
Which of the following is the most likely cause of this patient's findings?

Question

A 21-year-old man is brought to the emergency department by his roommate because of altered mental status. He found him covering his ears and shouting near the house . . Upon questioning, he was unable to look directly at the physician and answer coherently., he reported feeling nauseous and vomited twice. His temperature is 38.2°C (100.8°F), pulse is 100/min, respirations are 28/min, and blood pressure is 110/77 mm Hg. Physical examination shows normal-sized reactive pupils and clear lungs. There is tenderness over the epigastric area. He is admitted to the hospital for evaluation. Three hours after admission, he has a tonic-clonic seizure. Laboratory studies show:
 Which of the following is the most likely cause of this patient's findings?

Quizplus · Accepted Answer

Eductional Objective: In an overdose of salicylate ingestion will cause both respiratory alkalosis and metabolic acidosis with an elevation in anion gap due to increased lactate production Symptoms include tinnitus, tachypnea, hyperthermia, vomiting, and altered mental status

A 21-Year-Old Man Is Brought to the Emergency Department by His