Category Metabolic
Metabolic-Muddle-LITFL-Clinical-340 256

You can beat the feeling

It’s a busy night shift in the ED (as always) and one of the Interns comes to present a case to you. He’s seen a 23 yr old female who has presented with lethargy and weakness. While you're listening to the Intern your phone rings — it's the lab calling to tell you the patient’s potassium is 1.9 mmol/L.
Metabolic-Muddle-LITFL-Clinical-340 256

Hypernatraemia and Acidosis

A 20 year old male presents with 3 days of lethargy and generalised malaise. He is confused and looks very unwell. Can sort out this metabolic muddle?
Metabolic-Muddle-LITFL-Clinical-340 256

Staph Sepsis Acidosis

You are asked to review a 73 year old lady who is in hospital for treatment of septic arthritis affecting a prosthetic right hip joint inserted 5 years earlier.
Metabolic-Muddle-LITFL-Clinical-340 256

Waxing and Waning Weakness

A 50 year old Chinese female presents with severe weakness. She has a history of previous similar episodes that self-resolved. What's going on?
Metabolic-Muddle-LITFL-Clinical-340 256

Could it be renal colic?

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: