Month November 2018
CCC Critical Care Compendium 680

Strong Ion Difference

Strong Ion Difference - The quantitative approach to acid-base chemistry is also known as the physicochemical method or the Stewart approach

Metabolic-Muddle-LITFL-Clinical-340 256

Hyponatraemic Seizures

Seizures and hyponatremia in a 10 year-old boy - can you answer the questions and find the solutions to the case-based questions in this laboratory tester?

Metabolic-Muddle-LITFL-Clinical-340 256

Ammon Anyone?

You've just been handed over a patient who has an altered mental status when the phone rings. It's the lab - you're told that your patient has a serum ammonia level of 250 umol/L (reference range, 11-35 umol/L). WTF?

Metabolic-Muddle-LITFL-Clinical-340 256

Young and Yellow

Fulminant hepatic failure is defined as the appearance of hepatic encephalopathy in a patient with acute deterioration of liver function with no previous history of liver disease.

Metabolic-Muddle-LITFL-Clinical-340 256

Pregnant and Acidotic

A pregnant patient has pneumonia. There are also concerns that she has a metabolic acidosis. Can you solve this metabolic muddle?

Metabolic-Muddle-LITFL-Clinical-340 256

CATMUDPILES

76 year old male living alone. Found obtunded at home by neighbours. Breathing rapidly and muttering incoherently. No other history available. CATMUDPILES?

EBM Gone Wild sea 340

Texmed 2014

Slides from my presentation on Marine Injuries at the annual meeting of the Texas Medical Association. EBM Gone Wild Lectures Spider Bites that aren’t MRSA Fish Poisoning Centipedes, caterpillars and other creepy crawlies Toxmed 2014 Diabetic Ketoacidosis (DKA) TCEP

LITFL CCC SMILE2 340

Gizmo Idolatry

Gizmo idolatry refers to the general implicit conviction that a more technological approach is intrinsically better than one that is less technological unless, or perhaps even if, there is strong evidence to the contrary.

Ultrasound cases top 100 340

Ultrasound Case 028

A 55 year old diabetic woman presents with painless loss of monocular vision. You wonder whether ultrasound will show a retinal detachment.

EBM Gone Wild creepy crawly 340

Centipedes, caterpillars and creepy crawlies

Further Reading Hensley J. More dangers of centipedes? EBM Gone Wild EBM Gone Wild Lectures Spider Bites that aren’t MRSA Fish Poisoning Centipedes, caterpillars and other creepy crawlies Toxmed 2014 Diabetic Ketoacidosis (DKA) TCEP