A 91 year old lady on a geriatric ward. Serum results are
Sodium: 144 mmol/L
Potassium: 4.6 mmol/L
Urea: 9.4 mmol/L (2.8 - 7.0)
Creatinine: 143 umol/L (62 - 133)
Albumin: 33 g/L (35 - 49)
Adjusted calcium: 2.46 mmol/L 2.10 - 2.55)
Intact parathyroid hormone: 13.7 pmol/L (1.1 - 7.6)
Clinical information given is 'high calcium'. Results two weeks previously
were
Sodium: 145 mmol/L
Potassium: 5.2 mmol/L
Urea: 15.9 mmol/L
Creatinine: 123 umol/L
Albumin: 32 g/L
Adjusted calcium: 2.68 mmol/L.
Comment (maximum 2 lines if possible please) and/or other action directly
to me please ([log in to unmask]), not to the mailbase.
The summary for this Case will follow next week, after which Cases for
Comment will take a short break, while Li Ping and I will go through all
the scoring in detail, send summaries to all those registered for CME/ CPD,
prepare a short report on experience so far with these Cases, and discuss
with the assessors how best to take these Cases forward.
A Happy New Year to all
Gordon Challand
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