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Clinical Overview Emergency Medicine Internal Medicine/Endocrinology

Emergency Medicine Case Studies

Case A - Possible Toxin Ingestion
A 43-year-old white male with a history of depression and alcohol abuse was found lethargic on the floor of his room by his family. He was brought to the emergency room, where he was found to be confused; he became comatose over the next hour.
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Case B - Evaluation of Hyponatremia
The supervisor in the stat laboratory noticed that the results on a patient in the operating room had changed significantly since the previous evening, as shown in the accompanying table.
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Case C - Evaluation of Hyponatremia
A 32-year-old male presented with a history of one episode of passing blood in his stool. He had a history of alcohol abuse, and had been in an automobile accident the previous year, injuring his head.
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Case D - Evaluation of Hyponatremia
The evening supervisor notes that a patient's serum sodium has failed delta check alerts compared to the results from the previous week. She had run the initial specimen on the Beckman CX-7, and repeated the test on the Ektachem.
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Case E - Evaluation of Hyponatremia
A 74-year-old man was admitted in February with a stroke. After about one month in the hospital, he developed shortness of breath and was found to have pneumonia, which was resistant to treatment, raising the possibility of an ongoing source.
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Bibliography