RT Journal Article SR Electronic T1 A patient with altered mental status and an acid-base disturbance JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 27 OP 34 DO 10.3949/ccjm.84a.16042 VO 84 IS 1 A1 Shylaja Mani A1 Gregory W. Rutecki YR 2017 UL http://www.ccjm.org/content/84/1/27.abstract AB