Will:
1) Alcoholic with refeeding syndrome - magnesium undetectable
2) COPD and CCF - ABG PaO2 3.2
3) TB peritonitis - White cells 86, CRP 1332
4) Octogenerian living on tinned soup - MCV 149.6, Hb 4.2, Folate 0.1
5) 3 days unrecognised DKA - Base XS -35, pH 6.69, pCO2 0.1 Lactate 21
Michael:
Hb 3.2 - last week, bleeding DU. Still conscious!
Mark:
Creatine Kinase of 326,000 in a 22 year old student who'd suffered prolonged seizures following overdose of a TCA - did very well on intensive IV fluid therapy on HDU and went home reasonably quickly thereafter.
Adegbenga:
1. H/H 1.2/3.5 walked into ED with swollen feet. Died following 2 units of blood over rapid transfuser, Clever ED!!
2. Blood Sugar of >1200 and pH of 6.8, Na of 177 in the same Px with DKA and he did not know he was diabetic
Tom:
Sickler mid-crisis - hB undetectable by haemocue or ABG. Lab result confirmed haemoglobin of 0.5. He was still awake, alert, and refusing treatment (violently).
Clare:
Urea 70 Creat 1000 K 7.something, after 3/52 urinary retention.
Patricia:
Ur 68 Cr 2100 K7.5 generally not feeling well but only came to hospital because wife wouldn't go by herself in the ambulance and thought he'd get checked out in A&E too. He had bilateral hydronephrosis due to renal stones. There was another lady the same week with a K of 10 who survived.
Please do share your experiences by writing a comment or sending and email at mdblogger20@gmail.com.
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