A patient age 36/M came with a history of Fever and recurrent vomiting since 3 months, developed Breathlessness and decreased breathing since one week. During the span of illness he had seen a couple of local practitioners but he did not get any relief. His Breathlessness did not improve and was admitted to the hospital, on investigation the findings were as follows Hb:6.7 TLC:15,500 platelet:3 lac Na:147 K:5.1 Urea:>257 S.Creatinine:18.4 S.Br:0.8 (LFT normal) Ca:6.1 Phosphorus:8.9 also Abg was done. Patient needed urgent dialysis and developed a condition called Osmotic disequilibrium Syndrome. But with slow dialysis for 5-6 days KFT improved drastically.
Abg shows an interesting finding. WHAT'S YOUR DIAGNOSIS?