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76. 18. The differential diagnosis is being obtained. 27.

Ann Emerg Med 22:12521358, 1994. Philadelphia: Churchill Livingstone, 1996, pp 159192. Calculated osmolality = 1[Na (mEq L)] + [glucose (mg dl)] 18 + [BUN (mg dl)]. J Emerg Med 18:671745, 1998.

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