Lab case 157

A 34 year old woman is brought to ED by ambulance. She is travelling WA with her partner, who witnessed her lose consciousness, bite her tongue and experience jerking of her arms and extended legs for 2 minutes, followed by a period of confusion. she was back to normal within 20 minutes. Continue reading

Lab Case 22 – Interpretation

Elderly male from nursing home presents critically unwell with severe hypernatraemia following a seizure.


1. Seizure and altered mental state – secondary to high sodium, intracranial haemorrhage, other.

2. Tachycardia and low blood pressure for age – shock, large fluid deficit

3.  Life threatening hypernatraemia

4. Possible end of life situation  Continue reading