system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Two days after admission to the hospital, a 74-year-old man develops confusion and headache. He has also been vomiting over the past hour. His temperature is 36.7°C (98°F), pulse is 98/min, respirations are 22/min, and blood pressure is 140/80 mm Hg. He is lethargic and oriented only to person. Examination shows flushed skin. Fundoscopic examination shows bright red retinal veins. Serum studies show:
Na+ 138 mEq/L
K+ 3.5 mEq/L
Cl- 100 mEq/L
HCO3- 17 mEq/L
Creatinine 1.2 mg/dL
Urea nitrogen 19 mg/dL
Lactate 8.0 mEq/L (N = 0.5 - 2.2 mEq/L)
Glucose 75 mg/dL
Arterial blood gas analysis on room air shows a pH of 7.13. This patient's current presentation is most likely due to treatment for which of the following conditions?"
assistant
Hypertensive crisis