The set up 28 year old under going treatment for metastatic testicular cancer presents with a history of recurrent kidney stones. pH 7.13 pCO2 22 pO2 96 Na 138 Cl 114 BUN 14 K 3.2 HCO3 8 Cr 1.0 glucose 96 urine lytes: Na 56Cl 78 K 12 Measured osmolality 292 Step one Determine the … Continue reading More metabolic acidosis than you can shake a stick at…