20 year old epileptic woman presented to the emergency department after polypharmacy overdose. Her VBG showed the following:
PH = 7.28
20 year old epileptic woman presented to the emergency department after polypharmacy overdose. Her VBG showed the following:
PH = 7.28
Answers
PH = 7.025, that is severe acidaemia.
pCO2 = 116 mmHg, so we have respiratory acidosis.
Next, we calculate the compensation. For acute respiratory acidosis, we expected HCO3 to increase by 1 (from 24), for every 10 pCO2 above 40.
55 year old man was found unresponsive, his blood gases showed the following:
PH = 7.025
pCO2 = 116 mmHg
pO2 = 45 mmHg
Question 1:
PH = 7.55, that is moderate alkalaemia.
pCO2 = 23 mmHG, so we have respiratory alkalosis. This can be acute or chronic respiratory alkalosis.
Next we need to calculate the compensation…
25 year old man with presumed cyclical vomiting, presented with post prandial chest pain and vomiting. His blood gases showed the following:
PH = 7.55
pCO2 = 23 mmHg
Question1:
PH = 6.71, that is severe, life threatening acidaemia
pCO2 = 125 mmHg, Very high. So we have respiratory acidosis. This can be acute, chronic or acute on chronic.
70 year old man brought to ED with ROSC after cardiac arrest. He remained bradycardic after multiple doses of adrenalin. His bradycardia responded to a single dose of atropine. Blood gases for this patient showed the following:
PH = 6.71
A 30 year old male BIB police found at the shops acting erratically. The RMO accidentally canulates the brachial artery and a ABG is obtained:
A 30 year old male BIB police found at the shops acting erratically. The RMO accidentally cannulates the brachial artery and a ABG is obtained: Continue reading
Question 1:
We should consider ascending cholangitis in any patient with fever and features of obstructive jaundice till prove otherwise.
The diagnosis of ascending cholangitis is a clinical diagnosis. Patients usually have the classic Charcot triad of abdominal pain, fever, and jaundice.
Now we will discuss each component of this Liver Functions Tests separately.
Bilirubin = 101 umol/L.