Ward Not stated D.O.B/Age 10/06/1958 Consultant Urine sodium 224 mmol/L Request form: hyponatraemia Many patients present due to manifestations of other medical comorbidities, with hyponatremia being recognized only secondarily. Many medical illnesses, such as chronic heart failure, liver failure, renal failure, or pneumonia, may be associated with hyponatremia. Patients usually […]
Short cases
10 posts
Ward Surgical ICU D.O.B/Age 17/04/1994 Consultant Potassium: 6.1 H mmol/L [3.5 – 5.1] No diagnosis on request form, unable to get hold of clinician. Potassium ethylenediaminetetraacetic acid (EDTA) is a sample tube anticoagulant used for many laboratory analyses. Gross potassium EDTA contamination of blood samples is easily recognised by marked […]
Ward Paeditric ICU D.O.B/Age 11/03/2020 Consultant Prof G. vd Watt Elevated propionic acid in the urine organic acid profile. Fever with LRTI. ?COVID Normal birth with no antenatal problems #RVD exposed Now: #FTT #LRTI. ?COVID The patient presented with fever and LRTI which resolved after 3 -4 days of antibiotics. […]
Ward Surgical ward D.O.B/Age 26 y.o Consultant Dr H. Vreede Indices in serum: Haemoglobin index 4+ Bilirubin index Trace Lipaemia index Trace Call from a clinician to assist with generating results that were being rejected due to haemolysis. 26 y.o male #Previously well Admitted with multiple stab wounds and had […]
Ward Casualty Department D.O.B/Age 04/12/1940 Consultant Prostate-specific Ag (PSA) 949.50 H ug/L <4.00 Urinary retention. Request form: Lower urinary tract symptoms and urinary retention. Important clinical findings to assess for include: General: Temporal wasting, signs of urinary incontinence (e.g. any leaking noted, need to wear sanitary products) Abdominal: Assess […]
Ward Maternity Ward D.O.B/Age 27 y.o Consultant Dr C. Hudson APT test positive. ?haemolytic disease of the newborn 27 y.o. female G2P1 at 34 weeks RH negative with Rhesus iso-immunization. Anti-D titres 1:128. (Blood group AB negative). Coombs test positive. Risk of haemolytic disease of the new-born. Not applicable/difficult to […]
Ward Medical ward D.O.B/Age 16/07/1950 Consultant Ammonia 251 H umol/L [11 – 35] Specimen request form has hepatic encephalopathy written as the diagnosis/reason for request. Unable to obtain. Unable to obtain. Sodium 143 mmol/L [136 – 145] Potassium 4.4 mmol/L [3.5 – 5.1]Urea 28.1 H mmol/L [2.1 – 7.1] Creatinine […]
Ward Emergency unit D.O.B/Age 07/08/1968 Consultant Dr C. Hudson Request form: No clinical information provided Unavailable. Unavailable. Sodium 130 L mmol/L 136 – 145 Potassium 3.7 mmol/L 3.5 – 5.1Urea 2.9 mmol/L 2.1 – 7.1Creatinine 64 umol/L 49 – 90eGFR (MDRD formula) >60 mL/min/1.73 m2 Glycated haemoglobin (HbA1c): Glycated haemoglobin […]
Ward Pollsmoor Female Centre D.O.B/Age 10/10/1988 Consultant Creatine kinase (CK) 265 070 H U/L 20 – 180 Request form: Unable to obtain on Equation document viewer. Differential diagnosis in this patient includes rhabdomyolysis, severe burns, myocardial injury or ischaemia. History Unavailable. Unavailable. Sodium 139 mmol/L 136 – 145 Potassium 3.8 […]
Ward Surgical OPD D.O.B/Age 03/06/1936 Lipase 9640 U/L 13 – 60 (Result checked/analysed in dilution) Hepatic enzymes suggestive of a mixed picture. Request form: Jaundice ?NBL Unable to obtain history. Questions to consider: Presenting complaint: Weight loss, jaundice, yellowing of the sclera and/or skin, pruritis, vomiting, change in the colour […]