Lab Case 167

A 50 year old man is brought to your ED by ambulance. He complains of feeling unwell, fever, cough and difficulty breathing. He denies any chest pain or history of previous heart problems.

On examination he looks unwell, tachypnoeic and has very cold peripheries.

Vitals

BP 150/90

HR 140/min, sinus

T 38

RR 26/min

O2 sats 96 RA Continue reading

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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 134

You receive a call on the red phone. Young male, 24 years of age is coming in on a priority one with ongoing seizures. He has had 15mg midazolam without effect. You ask for more details and are given the following vitals:

PR 150/min

RR  30/min

BP  ??

T 41

Continue reading

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Lab Case 11

A 67 year old man is brought to your Emergency Department by ambulance. He is 7 days post right total knee replacement, complaining of feeling generally unwell and a painful right knee. He has had a previous cholecystectomy.

Vitals:

BP 120/60,           PR 140-160/min irregular

Temp 40               RR 20/min, O2 sats 90% RA

On examination:

Jaundice

Chest clear

Abdomen soft and non tender

Describe and interpret the following bloods: Continue reading

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