The physical examination is not different from the
one at the first admission, the chest X-ray reveals no
changes. Arterial blood gases show the same respiratory
alkalosis, this time metabolically compensated, most
likely in the context of polypnea (pH=7.45, pCO2=30.9
mmHg, HCO3-=21 mEq/L), with slight hypoxemia
(pO2=67 mmHg). At this admission, she has hepatic
cytolysis with transaminases three times above normal
limit