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Free Open Access Short Answer Questions for ED Fellowship Study
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Case: Persistent vomiting
A 30-year-old male presents atier 24 hours of persistent vomiting, not keeping anything down. He is confused, looks sweaty and unwell. He denies any significant past medical history. Initial observations are as follows :
- HR 120
- BP 80/50
- RR 24
- Sats 99% on RA
- T 37.2
- Hb 158 g/L (110-165)
- WCC 13.3 x109/L (3.5-11)
- Plt 239 x109/L (140-400)
- Na 130 mmol/L (135-145)
- K 5.2 mmol/L (3.5-4.5)
- Cl 101 mmol/L (100-110)
- HC03 18 mmol/L (22-33)
- Urea 10.7 mmol/L (3-8)
- Creat 94 umol/L (50-100)
- BSL 2.5 mmol/L