Tag Metabolic Muddle
Metabolic-Muddle-LITFL-Clinical-340 256

A Really Tricky ABG?

aka Metabolic Muddle 013 A 30 year-old female was admitted to the ICU following a traumatic brain injury.  Her ABG was normal on arrival. Since admission her condition has deteriorated and she now has circulatory failure requiring 100mcg/min of noradrenaline…
Metabolic-Muddle-LITFL-Clinical-340 256

Exercise-associated Hyponatremia

A 30 year-old female was BIBA to the ED following a seizure. She was running a marathon in hot weather. Nearing the end, after 5 hours running, she was seen fall to the ground and had a generalised tonic-clonic seizure.
Metabolic-Muddle-LITFL-Clinical-340 256

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?
Metabolic-Muddle-LITFL-Clinical-340 256

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.
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?
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.