Lab Case 38

A 2 year old boy is brought in to ED by his grandparents, having found him unresponsive at their home. He has no significant past medical history.

On examination he is drowsy with a GCS of 7 (E2V1M4) and has the following observations:

BP 80/50  mmHg

HR   140/min

RR  18/min

O2 sats  100% on 2 litres nasal cannula

T 36.5

His VBG is as follows: Continue reading

VN:F [1.9.22_1171]
Rate this post
Rating: 0.0/5 (0 votes cast)

Lab Case 37 – Interpretation

1. Describe and give the likely cause

Uncompensated high anion gap metabolic acidosis with hyperglycaemia and high lactate, due to diabetic ketoacidosis with shock and peripheral hypoperfusion Continue reading

VN:F [1.9.22_1171]
Rate this post
Rating: 0.0/5 (0 votes cast)

Lab case 36

An 82 year old man presents to your ED after a syncopal episode. He complains of abdominal pain and diarrhoea. On examination he has a heart rate of 105/min and a BP of 95/65. Rectal examination confirms black, foul smelling stool. His blood results are as follows:

Continue reading

VN:F [1.9.22_1171]
Rate this post
Rating: 0.0/5 (0 votes cast)

Lab Case 35 – Interpretation

1. Describe and Interpret

8 year old girl with oedema and dark urine presents with:

renal failure – Urea 12.1, Creat 101

evidence of infection – WCC 16, N 12.6

haematuria and pyruria on urinalysis – leucs>100, RBC>100 Continue reading

VN:F [1.9.22_1171]
Rate this post
Rating: 0.0/5 (0 votes cast)