Lab Case 151 – Interpretation

[ad_1] An 82 year old man presents with compensated shock. He has HHS , acute on chronic renal failure, pseudohyponatraemia, hyperkalaemia (total body depletion) Causes: MI, infection, diuretics, CVA, PE Diagnostic Criteria: serum osmolarity > 320mosmol/L serum glucose > 33mmol/L profound dehydration (elevated urea:creatinine ratio) no ketoacidosis Treatment goals correct dehydration (often 6-9 L of…

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Imaging Case of the Week 262 Answer

[ad_1] The lateral lumbar x-ray shows an incidental finding of L4 limbus vertebra. A limbus vertebra is a developmental abnormality and is visible as a triangular well corticated bony fragment on the anterosuperior aspect of the vertebral body, usually in the lumbar region. Reference: Grainger & Allison’s Diagnostic Radiology Essentials.   This entry was posted in…

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Lab Case 150 | Emergucate

[ad_1] A 26 year old man presents with abdominal pain and vomiting. He drinks alcohol regularly and smokes marijuana. On examination, there is epigastric tenderness with guarding. Vitals: BP 100/60, PR 100/min, T 37.5 His VBG:pH  7.47 pCO2  66  mmHg HCO3  47  mmol/l BE  19 Na  131  mmol/l K  2.9  mmol/l Chloride  80  mmol/l Creatinine  321 …

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