CICM SAQ 2011.1 Q12
Questions
List the major biochemical abnormalities that are usually associated with the following conditions:
a) Adrenal insufficiency
b) Refeeding syndrome
c) Tumour lysis syndrome
d) Ethylene glycol toxicity
Answers
Answer and interpretation
a) Adrenal insufficiency
- Hyponatraemia
- Hyperkalaemia
- Non anion gap acidosis
- Hypoglycaemia
- Hypercalcaemia
b) Refeeding syndrome
- Hypophosphataemia
- Hypokalaemia
- Hypomagnesaemia
- Hyperglycaemia
c) Tumour lysis syndrome
- Hyperphosphataemia
- Hyperkalaemia
- Hypocalcaemia
- Hyperuricaemia
- Metabolic acidosis
d) Ethylene glycol toxicity
- High anion gap acidosis
- High osmolar gap
- Hypocalcaemia
(also – high creatinine due to renal failure)
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