Case 18 – update 3

ITU registrar arrives to review your patient.  He agrees to HDU support and the patient is planned for transfer.  A few further investigations become available.

LDH – 4150

ABG pH 7.24, pCO2 2.6, pO2 11.5, HCO3- 14, be -8

Retics – 1.5%

MCV 84

ECG – tented t-waves!

What are the potential causes for the hyperkaleamia/renal failure in this genetleman?

What does the ABG show?

any further investigations which may help you with identifying the cause – other than abdominal imaging?  Radiology have agreed to abdo USS once patient had been stabilised.

Any further treatment you can give immediately?

You also speak to the haematology lab, who will review a blood film, and surgeons will review patient as soon as available.

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Lymphoma and tagged , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s