Category LITFL
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

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?

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.