You did not describe the clinical secnario leading to
his admission. Has the patient developed diarrohea and
vomiting for example or was it just an incidental
finding in asymptomatic baby?
As to the herbal medicine itself, it will be beyond
the ability of general biochemistry laboratories to
identify the multitude of substances in such crude
extracts. I am also not sure as to the clinical
diagnostic benefits gained from doing so, unless toxic
solvents have been used in its preparation and the
clinical scenario suggests intoxication with such
agents.
regards.
--- "TICKNER TREVOR (RM1) Norfolk and Norwich NHS
Trust" <[log in to unmask]>
wrote: > A male aged 10 months with eczema was treated
using
> Chinese herbal medicines
> - one a 'herbal infusion' that was administered by
> mouth and the second a
> paste for application to the skin.
>
> On admission his Na was 117 and K 5.1. One day later
> they were 116 and 5.7.
> I do not know if the phlebotomy was traumatic but he
> is 'difficult to
> bleed'.
>
> He was given IV fluids ( I think principally saline)
> and on the next 2 days
> the results were Na 121 K 4.5 and Na 128 K 4.4.
>
> Random cortisols were 445 on day 2 (i.e. when Na was
> 116) and 489 on day 3.
>
> Urine Na on day 3 was <5 mmol/l and K <3.
>
> There is a suspicion that the herbal infusion may
> have contributed to the
> disorder and I have now been presented with samples
> of both the infusion and
> the paste.
>
> Has anyone any (preferably polite) suggestions of
> what I can do with these
> samples to try to understand the electrolyte
> disturbance?
>
> Many thanks,
>
> Trevor Tickner,
> Norwich
>
>
>
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=====
Dr. M A Al-Jubouri
Consultant Chemical Pathologist
Whiston Hospital
Prescot
Merseyside L35 5DR
UK
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