Impossible potassium
The prize for the most extreme hypokalemia ever is not awarded solely for the magnitude of the hypokalemia. It is much more impressive when the potassium refuses to rise above…
The prize for the most extreme hypokalemia ever is not awarded solely for the magnitude of the hypokalemia. It is much more impressive when the potassium refuses to rise above…
You know that feeling on your first day of A-Level chemistry when you find out everything they told you in GCSE was a lie? I felt something similar when I…
A lady in her late 50s with a background of metastatic colon cancer was referred by her GP with a Hb of 6.1 (MCV 89.8, WCC 20.9, Plt 117). This…
Things were livened around 11am up by a call from the ultrasonographer. A man in his late 60s year had undergone an abdominal ultrasound at the request of the consultant…
A girl with factor V leiden presented with two episodes of loss of consciousness. The losses of consciousness occurred while she was in bed at around 8am, and neither episode…
Apologies for the delay. A mixture of on-calls, time off and working on other medical education projects got in the way. Also, I couldn’t find the ? ST Elevation patient’s…
ECG at admission ECG at 12 hours
ACS is not just about sorting out the meds and organise the PCI ASAP, then moving on. If the patient is still alive and sitting front of you following an…
“Was the INR really 10?” asked the CT2 as we left the handover meeting. “Yeah. It actually said >10 which means its probably 20.” “Or 100” “Or she’s just a…
“Steady on his O2 there. He’s a COPD patient; we don’t want him to stop breathing.” A 73 year old man with COPD not on home oxygen and usually well-controlled…