The blood count is low. In terms of why, it’s not so clear. Best to top it up.
AKI doesn’t usually cause anaemia, or at least the other features of AKI dominate the picture way more. CKD, for sure causes anaemia that is clinically significant. Hmm.
His pulse is 132 and blood pressure 84/55 mmHg.
The patient starts singing a song. He must be in the hallucination phase of shock.
You listen to the song. You recognize it as “The rat that died of gastrointestinal haemorrhage from coumadin poisoning” and it was the UK Number 434 in 1951.
You sense the patient is trying to tell you something, but what? What do you do next?