A 26 year old male presents with nausea, vomiting and confusion. The following blood gas is obtained on admission: pH 7.24: (7.35-7.45); pCO2 27: (35-45); paO2 91: (80-100); HCO3 11: (22-26); Cl 110: (95-105); sodium 142: (138-146); potassium 4.1: (3.5-4.0); lactate 7: (0-2); glucose 2.1: (4-8). What could be the diagnosis of this case?

What could be the causes of this condition? *This case is by Docplexus Editorial Team for educative purpose only.