A 13-year-old girl fights with her mom and drinks about 125 ml of windshield washer fluid in protest. She is in the emergency room, is stable, and neurologically appropriate. The following are the results of laboratory investigations: Na+ = 135 mmol/l K+ = 4.5 mmol/l Cl - = 103 mmol/l HCO 3 = 21 mmol/l Creatinine = 56 µmol/l Urea = 4.7 mmol/l Glucose = 5.2 mmol /l pH = 7.35 pCO2 = 39 mmHg Serum Osmolality = 365 mOsm/kg An elevated osmolar gap helped to conclude the ingestion of alcohol, which was confirmed to be methanol after a toxicology screen.

##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its accuracy, we make no warranties, explicit or implied, about the suitability, reliability, or adequacy of the information, including data visualization elements and graphics. We do not endorse any medical treatment,…