Lab Case 30 – Interpretation

1. Describe the relevant biochemical abnormalities

Elevated bilirubin – jaundice (require direct vs indirect)

Markedly elevated ALT >> GGT/ALP – transaminitis, indicating hepatocellular damage

Normal Albumin – marker of synthetic function Normal FBC/UEC Continue reading

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Lab Case 29 – Interpretation

17 year old with mixed non anion gap metabolic acidosis and respiratory acidosis and significant ketoacidosis on background of underlying gastritis (likely) and NSAID use for bursitis

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Lab Case 29

A 17 year old female presents to your ED with 1 day of vomiting and epigastric pain. She had been on school camp and her symptoms started soon after eating a Kangaroo BBQ. She has a history notable for hypermobility syndrome and recurrent left greater trochanteric bursitis.

Describe and Interpret her VBG Continue reading

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Lab case 28 – Interpretation

This patient has a severe hypochloraemic metabolic alkalosis,  with an additional respiratory alkalosis. There is also a severe lactic acidosis (so there must be an additional component of a metabolic acidosis present) Continue reading

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