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

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

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