3 Days Of Profuse in Medicine / Internal Medicine — Case | Gastroenterology | SMLE Q#333

SMLE Question #333

Medicine / Internal Medicine Gastroenterology
Last updated: February 2026
A previously healthy 35-year-old woman presents with 3 days of profuse watery diarrhea after eating from a street vendor. She reports 8–10 large-volume stools daily with weakness and lightheadedness on standing. She denies vomiting and abdominal pain. Examination shows dry mucous membranes and delayed capillary refill. Which arterial blood gas pattern is most likely in this patient?

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