aka Oncology Quandary 002 A 30 year-old woman presents with abdominal pain and paraesthesiae. She was diagnosed with CML 2 months previously, and was treated with chemotherapy a month prior to presentation. These are her blood test results: Describe and interpret the test results. [DDET Answer and interpretation] Description: Mild hyponatremia … [Read more...] about Troubling Lab Strife
Questions A 45 year old previously healthy man was admitted to your ICU five (5) days ago after a motor vehicle accident with chest and abdominal injuries. He is currently intubated and ventilated, is on 100% oxygen and PEEP of 10cm water. He is deeply sedated and on noradrenaline and adrenaline infusions at 10mcg/min each. He has become oliguric. His blood biochemistry, … [Read more...] about CICM SAQ 2009.2 Q13
A 76-year-old man is admitted to the ICU following a laparotomy for faecal peritonitis. He has developed multi-organ failure over two days, requiring ventilatory and inotropic support. He is oliguric, increasingly acidotic, uraemic and has a rising serum creatinine. a) List the likely mechanisms for this patient’s renal failure b) What would be your indications for renal … [Read more...] about CICM SAQ 2011.2 Q16
aka Pediatric Perplexity 002 An 18 month-old boy was brought to the ED by his parents with a 5 day history of intermittent vomiting, lethargy, infrequent wet nappies, and decreased oral intake. He was afebrile and his parents said that he was pale and that his face was puffy. He had an upper respiratory tract infection about 2 weeks previously but no other significant past … [Read more...] about Hemolysis and renal failure in a toddler
aka Metabolic Muddle 001 Consider a 65 year-old male presenting with right-sided flank pain radiating to the groin. The following CT scan was taken to confirm a presumed diagnosis of renal colic: Questions Q1. Describe the CT scan [DDET show answer] CT scan is non-contrast; however, there is: right-sided retroperitoneal blood evident an abdominal … [Read more...] about Could it be renal colic?