30 year old man is admitted to hospital in a state of reduced consciousness(Glasgow coma scale 9)with froth coming out of his mouth and laboured respiration. according to his family members he was found collapsed in his room 1 hour ago. He is otherwise healthy man taking no regular medications. a strong pungent garlic like odor is apparent and is found coming from the patients body. The patient has no past history of psychiatric illness.
Arterial blood gas results on high flow oxygen
PaO2 55mmHg
PaCo2 23mmHg
HCO3- 24mmol/l
H+ 34nmol/l
what is the differential diagnosis
What examinations can you perform
How will you treat this patient
