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Tag Renal Tubular Acidosis
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…

Mind the gap…

the case. a 29-year old female with a past history of anorexia nervosa, polycystic ovarian syndrome, chronic back pain and analgesic abuse presents to the Emergency Department.  She describes 3 days of bilateral ankle and facial swelling.  She tells you…