Tag metabolic acidosis with a raised anion gap
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Young and Yellow

Fulminant hepatic failure is defined as the appearance of hepatic encephalopathy in a patient with acute deterioration of liver function with no previous history of liver disease.
Metabolic-Muddle-LITFL-Clinical-340 256

Hypernatraemia and Acidosis

A 20 year old male presents with 3 days of lethargy and generalised malaise. He is confused and looks very unwell. Can sort out this metabolic muddle?