A 57 year old man, seeing his Community Physician. Clinical information
'Non-insulin-dependent diabetes mellitus. Fasting blood sample'.
Sodium: 140 mmol/L
Potassium: 4.5 mmol/L
Urea: 8.9 mmol/L (2.8 - 7.0)
Creatinine: 133 umol/L (62 - 133)
Albumin: 39 g/L
Calcium: 2.42 mmol/L
Uric acid: 485 umol/L
Cholesterol 6.9 mmol/L (3.0 - 6.5)
Triglyceride: 2.2 mmol/L (0.4 - 1.8)
HDL-cholesterol: 1.1 mmol/L (0.8 - 1.8)
LDL-cholesterol: 4.8 mmol/L (<4.5 )
Fructosamine: 373 umol/L (205 - 285)
Comment (maximum 2 lines if possible) and/or other action directly to me
please ([log in to unmask]), not the mailbase.
>From this Case onwards, the Case summary will be sent out with an
assessment of the appropriateness of each comment. I'm convening a 'Star
Chamber' of 7 wise men (and women) some or all of whom each week will
independently score each comment on a scale from +2 (highly appropriate) to
-2 (highly inappropriate). I will collate the mean score, and attach it to
each comment. Confidentiality will be preserved - not even the Star Chamber
(which itself will remain anonymous) will know the origin of each comment.
This process will add 2 - 3 days' delay to the summary. I hope participants
will forgive this, in the interests of increasing the educational value of
'Cases for Comment'.
I would welcome feedback on the utility of this comparatively simple (but I
hope useful) assessment of comments.
With best wishes
Gordon Challand
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