Lab Case 165

A 30 year old man is brought to your ED by ambulance. He was found lying on his garage floor unconscious by his girlfriend after an earlier argument. He is a NIDDM on Metformin and has some psychological problems on Quetiapine.

The patient is a car enthusiast and works as a mechanic.

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Lab case 162

A 9 year old boy is referred in by his GP for further management of his blood results.

He has 3 days of a flu like illness with fever, leg pain, runny nose and cough. He is a healthy child without any other illness and fully immunised.

He looks well and has normal vital signs apart from a low grade temperature after some Paracetamol. Continue reading

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Lab Case 159

A 60 year old male presents with 1 week history of vomiting. In the last 24 hours the family noted that he was confused and poor to respond. Background – IHD, HTN, NIDDM on Metformin, Coversyl, aspirin, metoprolol.

On arrival he was confused.

Vitals: BP  80/40   HR 46/min   Temp  34   RR 24/min and GCS 10 Continue reading

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Lab Case 158

An 80 year old lady is brought in to the ED complaining of tiredness and rectal bleeding. Past medical history includes chronic renal failure, CCF/ pulmonary oedema and anaemia. She has known GI AV malformations with previous bleeding episodes.

Her blood results show: Continue reading

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Lab case 156 – Interpretation

27 year old with GCS 7 but haemodynamically stable presents with Continue reading

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Lab Case 154

A 17 year old girl presents with 3 weeks of fevers, lethargy, general body aches and palpitations. She was diagnosed with a blood disorder in childhood but is on no regular medications and has no other significant medical issues.

Vitals: T 38.2,  PR  138/min

Her blood results show: Continue reading

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