By David Howlett, Nicola Gainsborough
Part 1: scientific chemistry Case 1: aged girl with heritage of vomiting Case 2: An aged guy with shortness of breath Case three: a girl with headache Case four: An aged guy with a cough Case five: a lady with stomach ache Case 6: A depressed aged guy Case 7: with headache and vomiting Case eight: a guy with critical vomiting Case nine: a guy chanced on semi-conscious Case 10: younger lady with aspirin overdose Case eleven: Asthmatic male with cough Case 12: a guy with renal failure Case thirteen: teen with colicky discomfort Case 14: guy with diabetes mellitus Case 15: aged guy with dysuria Case 16. Read more...
summary: part 1: scientific chemistry Case 1: aged lady with heritage of vomiting Case 2: An aged guy with shortness of breath Case three: a girl with headache Case four: An aged guy with a cough Case five: a girl with belly discomfort Case 6: A depressed aged guy Case 7: with headache and vomiting Case eight: a guy with critical vomiting Case nine: a guy came upon semi-conscious Case 10: younger girl with aspirin overdose Case eleven: Asthmatic male with cough Case 12: a guy with renal failure Case thirteen: youngster with colicky ache Case 14: guy with diabetes mellitus Case 15: aged guy with dysuria Case sixteen
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Extra resources for 100 Cases for Medical Data Interpretation
A patient with hypokalaemia will usually require 80 mmol/day of potassium replacement to restore the serum potassium to normal. In this case, as insulin causes potassium to enter cells, a larger amount may be required. 5. It is important to check for any history of head injury and to check for neck stiffness, photophobia, petechial, purpuric skin rash as an indication of meningitis. In this case, it is probably due to her ear infection. Computed tomography confirmed evidence of right-sided mastoiditis with no bone destruction and this was treated with intravenous antibiotics.
4. Why was the faecal calprotectin measured? What are the causes of an elevated concentration? 5. Why did the laboratory measure CRP when a ferritin was requested? 6. Why do you think the IgA tissue transglutaminase test was only borderline high? 7. Taking the clinical sensitivity and specificity of IgA tissue transglutaminase antibody testing in adults as 93 and 96 per cent, respectively, calculate the likelihood ratios of a positive test and a negative test. 8. What method can be used to calculate the post-test probability of coeliac disease based on a clinical supposition of a 50 per cent pre-test probability as in this case?
His chest was clear, his abdomen soft and there was no localizing neurology. 1 mmol/L, an infusion of saline was commenced and sliding scale insulin regimen prepared. indb 44 13/05/13 8:42 PM Case 9: Man found semi-conscious 45 Reference range Opiate screen Strong positive Salicylate <5 mg/L (0–20 mg/L negative) Paracetamol <5 mg/L (>300 mg/L toxic, therapeutic range 10–20 mg/L at 2 hours post-dose) Questions 1. Is the pattern of blood gases consistent with a diagnosis of diabetic ketoacidosis?
100 Cases for Medical Data Interpretation by David Howlett, Nicola Gainsborough