Q:

A 24 year old woman known to be suffering from panic disorder presents to the hospital with tingling and numbness in her fingers. ABG: pH 7.52, PCO2 2.2kPa, PO2 11kPa, Bicarb 20. What is the most likely condition?

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A 24 year old woman known to be suffering from panic disorder presents to the hospital with tingling and numbness in her fingers. ABG: pH 7.52, PCO2 2.2kPa, PO2 11kPa, Bicarb 20. What is the most likely condition?


  1. Acute metabolic alkalosis
  2. Acute resp alkalosis
  3. Compensated resp alkalosis
  4. Compensated metabolic acidosis
  5. Acute metabolic acidosis

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The key is B. Acute respiratory alkalosis. [In panic attack there occurs hyperventilation which causes washout of CO2 and leads to acute respiratory alkalosis resulting in raised pH >7.45 (here 7.52), low PCO2 (here 2.2 kPa) with compensatory decrease in HCO3 (here 20meq/l)].

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