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ModerateEmergency MedicineMethanol poisoningus-abemus-usmle-step-2us-usmle-step-3

A 28-year-old man presents to the emergency department after being found confused and agitated. Arterial blood gas on room air shows pH 7.25, PaCO2 25 mm Hg, PaO2 88 mm Hg, and bicarbonate 11 mEq/L. Serum anion gap is 28 mEq/L. Serum lactate is normal, and there is an elevated osmolar gap. Which ingestion is most consistent with this presentation?

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