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?
Category Clinical Cases
LITFL Clinical Case Collection. Over 250 Q&A style clinical cases to assist Just in Time Learning and Life Long Learning. Cases are categorised by specialty and can be searched by keyword from the database table
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.
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?
Pregnant and Acidotic
A pregnant patient has pneumonia. There are also concerns that she has a metabolic acidosis. Can you solve this metabolic muddle?
CATMUDPILES
76 year old male living alone. Found obtunded at home by neighbours. Breathing rapidly and muttering incoherently. No other history available. CATMUDPILES?
Ultrasound Case 010
A young man with a history of right sided pneumothorax, apical bullectomy and VATS pleurodesis presents with right sided pleuritic chest pain. You are asked to exclude recurrent pneumothorax.
Ultrasound Case 009
A 70 year old male who had been "legally blind" for several years presented after blunt occular trauma. He had never had his eyes formally assessed. He said he had improved light perception post injury and could actually see moving shapes.
Ultrasound Case 007
A young man presents with severe intermittent left testicular pain. Describe and interpret these scans
Ultrasound Case 008
A 49 year old cyclist hit by a car complains of abdominal pain, worst in his left upper quadrant. Describe and interpret these scans
Ultrasound Case 006
A patient with known metastatic breast cancer presents with increasing exertional dyspnoea.
Ultrasound Case 005
A 66 year old woman presents with gradually increasing shortness of breath. She had a syncopal event whilst standing in church and remains grey and sweaty.
Pneumothorax Case 4
A 32 year old man presents with a 4 day history of increasing right sided chest pain and associated shortness of breath.