... fainting,narcolepsy, and anxiety attack.IV. Database A. Physical Exam Key Points 1. Assess airway, breathing, and circulation (ABCs) and vitalsigns.2. Evaluate for hepatomegaly, pigmentation, short ... Changes can be acute,chronic, or a combination.228 I: ON CALL PROBLEMSloss have an associated acid-base disturbance. Finally, ananion gap acidosis may be present in the setting of elevatedlactate ... Diseases. Malnutrition, sepsis, intestinal obstruction,cyanotic heart disease, collagen vascular disease.IV. Database A. Physical Exam Key Points 1. General appearance a. Does child have a recognizable...