Verdant waste
You manage a young male with a subarachnoid haemorrhage. You are called to review because the patient has started to pass green urine
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
How Green is my urine
Casual perusal of the output from a patients indwelling catheter revelaed green urine. What are the commonest causes of this unusual urine?
Where are the lemons?
You are wandering past the bedside of a 42 year old male with a cerebral abscess…and you notice he has orange urine. Unusual Urine.
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?
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?
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.
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 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 007
A young man presents with severe intermittent left testicular pain. Describe and interpret these scans