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- Mar 10, 2006
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Wow. Slow day today?
In my hospital the whole "critical value" thing is just wacky. That CK of >80k was reported as routine but every stinking K of <3.2 gets called like a code blue. Whatever.TSH of 188. I think we found the source of the "feeling tired". Not a critical value, but damn impressive level of abnormality.
- H
Abdominal mass -- 30 X 30 X 15 cm (final path report -- ovarian serous cystadenoma)
Abdominal mass -- 30 X 30 X 15 cm (final path report -- ovarian serous cystadenoma)
Lovely, isn't it. I had a 21 year old G12P4 last summer.
Ok, can we have mandatory tubal ligations for some folks?
I didn't see any records for ammonia so I nominate my patient tonight with a stellar... DA DA DADA 302 ! Yes she's altered. Yes she's ESLD. Let me call the internist. I know he'll be proud.
Ok, can we have mandatory tubal ligations for some folks?
Don't know quite why I measured it but I had a 450 yesterday.
I think that warrants aggressive K repletion through a central line.K of 0.9....
Oh and i dont know if it matter but our lab doesnt give us pHs below 6.8 or lactates above 15..
We did have a Bhcg of 2,500,000... turns out it was a lab error..
We did have a Bhcg of 2,500,000... turns out it was a lab error..
Wow......Aub, you really need to stop going out drinking with the surgeons.....Let's try this again.
Let's try this again.
That's like, what, antifreeze?
K of 0.9....
Oh and i dont know if it matter but our lab doesnt give us pHs below 6.8 or lactates above 15..
We did have a Bhcg of 2,500,000... turns out it was a lab error..
Did they live?Thought this was the highest lactate I had ever seen: 19.0
Then one week later, I had another patient with a lactate of 19.7
Na: 96 Cl: 59 K: 1.7
Lung cancer --> SIADH + Lasix
GOt that beat. K=1.2. Lots of ectopy on EKG. She came back a few weeks later with K=1.5. No diuretics or findable malignancy.
we have a pt like that who ends up in our obs unit every few months. loosing k from somewhere/something resistant to workup/IM flogging. when her k gets below 1.5 she presents with flacid paralysis effecting all her voluntary muscular action. when it gets over 2 she is fine.....weird.......
the one time i'll ever be able to beat docB--and not by much: pH 6.9 with bicarb of 1.5. also DKA, also doing well.Bicarb of 2. DKAer. Actually did pretty well. pH was 6.90 and she was awake and talking.