A chap with a 6 month old ileal conduit for urinary diversion rocks up to your ED feeling more than a little unwell.
A VBG done at triage is like this:
What’s the deal?
Tanrikut C, McDougal WS. Acid-base and electrolyte disorders after urinary diversion. World J Urol. 2004 Jul 29;22(3):168–71. [PubMed]