SAQ Library : Metabolic
Free Open Access Short Answer Questions for ED Fellowship Study
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Projectile vomiting in 5-week-old
A 5-week-old boy has been brought to your ED with projectile vomiting.
Neonatal adrenal crisis
2-week-old male is brought to your Emergency Department by concerned parents. He is floppy and listless and brought into the …
Acute kidney injury
A 78 year old man is sent into your ED by their general practitioner with concerns for acute kidney injury …
Collapse after vomiting
A 21-year-old female presents after collapse following a 3-day history of vomiting. ABG: pH 7.65 pCO2 55 PO2 80 HCO3 …
Paediatric diabetic ketoacidosis
A 4-year-old boy presents to ED with a 2-day history of worsening nausea, vomiting, and abdominal pain. He is drowsy, …
Ethylene glycol poisoning
A 58 year old man has been found at his home with altered conscious state after a suspectedingestion of engine …
Variceal upper GI bleed
A 65 year old woman has been taken to the ED with large volume haematemesis. She has a history of …
Hypercalcaemia
A 56-year-old woman is brought into your tertiary ED by her partner with confusion. Her past history includes hypertension, dyslipidemia …
Crush syndrome
A 28-year-old male is brought in by ambulance after an accident on a construction site. An excavator tipped onto its …
Euglycaemic DKA
You are managing a 45-year-old man with undifferentiated abdominal pain and vomiting. His past history is HTN and type 2 …
Obesity hypoventilation syndrome
A 44-year-old Polynesian woman presents with a 4-day history of progressive dyspnoea and somnolence. She has a BMI greater than …
Seizure due to severe hyponatraemia
A 64-year-old female presents with an altered conscious state following a seizure. Initial ABG shows pH 7.32, PCO2 31 mmHg, …
Diabetic ketoacidosis with high anion gap acidosis
A 30-year-old female is brought in by ambulance with multiple episodes of vomiting and abdominal pain. She has a past …
Elderly fall with metabolic derangement
An 82-year-old woman has been found on the floor at home following a fall 24 hours prior.
- GCS 14
- HR 115
- HR …
Neonatal hypoglycaemia with seizure
A 14-day-old boy presents to ED with drowsiness. His parents saw his eyes deviate to one side and some lip …
Hypercalcaemia
A 72-year-old man presents with 6 weeks of progressive low back pain, fatigue and renal impairment. Blood results show creatinine …
Myxoedema coma
A 60 year old female with known hypothyroidism presents with acute confusion. She is on thyroxine only. Vital signs:
- Temp …
Post-thyroidectomy hypocalcaemia
A 50-year-old gentleman presents 2 weeks following a thyroidectomy. He has been experiencing perioral numbness and muscle cramps.
Unknown overdose
A 17-year-old girl is brought to the emergency department with acute confusion after ingesting a large number of unknown tablets …
Dizzy and myalgias with CCF
A 65-year-old man is bought into ED by his wife with myalgia and dizziness. He has a past history of …
Alcoholic ketoacidosis with mixed acid-base disorder
A 63-year-old woman with alcohol use disorder presents with abdominal pain, nausea and vomiting after heavy alcohol intake. A venous …
DKA
A 10-year-old girl has presented to your urban district emergency department at 3pm with fever and feeling lethargic for the …