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Contributor score: 8
Patient has normal Na.
Lab data indicates serum bicab not ABG bicarb.
oops! just realized bicarb is never given as an ABG haha
Yes, it was. I think in both vignettes, the picture was basically irrelevant. Or another possible clue -- but definitely not needed to answer the Q.
My school uses old "retired" NBME questions for exams and I've also seen this exact same picture multiple times...w/ different scenarios I think. I tried remembering what the questions were but I guess it's mostly irrelevant.
I also put wilm's tumor bc it felt really familiar wtf