MedBugs: SAQ #267

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Case: Unwell after chemotherapy

A 16-year-old male presents feeling unwell after chemotherapy. Na 135 K 6.7 HCO3 23 Urea 15 Creat 220 Glu 6.5 Ca 1.9 Phos 3 Urate 0.99

1. State the most likely unifying diagnosis for these abnormalities. 1 mark

2. State two of the most common malignancies associated with this condition. 2 marks

3. List three complications this patient could develop. 3 marks

Renal replacement therapy may be required for refractory electrolyte disturbance or renal failure.

4. Outline six key steps in management of this patient. 6 marks

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Case: Unwell after chemotherapy

1. State the most likely unifying diagnosis for these abnormalities. 1 mark

2. State two of the most common malignancies associated with this condition. 2 marks

3. List three complications this patient could develop. 3 marks

4. Outline six key steps in management of this patient. 6 marks

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