Lab Case 148

A 49 year old man with NIDDM on Metformin is brought to the ED by his father. He was not seen for 2 days, father went to check on him and found him lying on the floor, confused and incoherent.

On arrival he was confused, not cooperative and looked unwell.

Vital Signs:

BP 90/60

PR 130/min

T 32

RR 30/min

His blood tests: Continue reading

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Lab Case 147

A 16 year old boy is brought to your ED by the ambulance with abdominal pain, vomiting and shortness of breath.

He is pale, sweaty and looks unwell.

Vitals: BP 90/60, PR 110/min, T 38, RR 30/min

His blood results: Continue reading

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Lab Case 146

An 85 year old female with bowel obstruction is in your Emergency department for the past 12 hours waiting for a bed. She has been seen by the general surgical team and accepted for admission. She has been having increasing pain and abdominal distension requiring opiate analgesics. The nurse has interrupted you on multiple occasions because the patient is becoming increasingly tired and breathless with some mild confusion. You are slightly annoyed by this and finally decide to see the patient. You find the patient looking unwell, on 4 litres oxygen in you short stay ward. You decide to move the patient to the resuscitation area and do “blood tests”

Her ABG shows: Continue reading

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