Case 1: A patient complains of chest pain which gets better when he leans forward
Labs
pH: 7.24
Sodium: 140 mEq/L
Potassium: 4.0 mEq/L
Chloride :103 mEq/L
Bicarbonate :17 mEq/L
BUN: 60mg/dL
What is the most likely diagnosis?
.
Case 2: A patient comes in with refractory hypertension
You find a bruit on auscultating the abdomen. What are the most likely lab findings and acid base change?
[Answer with a 
or 
]
pH:
Potassium:
Bicarbonate:
Urine chloride:
Acid-base change: __________
Diagnosis: _________
First one is uremic pericarditis.
Second one is renal artery stenosis, so there will be elevated renin and aldosterone leading to alkalosis, with elevated pH, hypokalemia, elevated bicarbs, increased chloride in the urine.