Labs and Lytes are case-based clinical problems designed for practicing clinicians to develop and revise knowledge and problem-solving skills. These are created by the junior medical staff and consultants participating in The Alfred ICU Education program.
All case-based scenarios on INTENSIVE are fictional. They may include realistic non-identifiable clinical data and are derived from learning points taken from clinical practice. Clinical details are not those of any particular person; they are created to add educational value to the scenarios.
Use keywords to search the database below:
| Number | Title | Keywords | Topic |
|---|---|---|---|
| 1 | A black and white case | CHEST X-RAY, COLLAPSE, CXR, OPACITY, RIGHT MAIN BRONCHUS INTUBATION | RADIOLOGY, RESPIRATORY |
| 2 | It might be carcinoid | BRONCHUS, CARCINOID, HILAR MASS, LUMBAR VERTEBRA, LYTIC LESION, NARROWING | ONCOLOGY, ENDOCRINOLOGY |
| 3 | It's in the blood | BETA, FBC, FBE, FULL BLOOD COUNT, HAEMATOLOGY, MICROCYTIC ANEMIA, MICROCYTOSIS, NICK BINGHAM, THALASSEMIA | HAEMATOLOGY, LABORATORY |
| 4 | That's A Very Interesting Chest X-ray | CHEST X-RAY, CT CHEST, CXR, ICC, INTERCOSTAL CATHETER, TAVI,TRANSCATHETER AORTIC VALVE IMPLANT, TRAUMA | RADIOLOGY, CARDIOTHORACIC SURGERY |
| 5 | Not all fever is infection | ACUTE INTERSTITIAL NEPHRITIS, DRUG FEVER, DRUG REACTION, TAZOCIN | PHARMACOLOGY, RENAL, INFECTIOUS DISEASES, LABORATORY |
| 6 | A liver that needs a rest | ALCOHOL, ALCOHOLIC HEPATITIS, AMMONIA, HEPATOMEGALY, LFTS, LIVER DISEASE, LIVER FUNCTION TESTS | GASTROINTESTINAL, LABORATORY |
| 7 | What's up with this pacing swan? | CHEST RADIOGRAPH, MONITOR, PACING, PRESSURE WAVEFORMS, PULMONARY ARTERY CATHER, SWAN-GANZ CATHETER, X-RAY | CARDIOLOGY, MONITORING |
| 8 | How new is new? | ACUTE, CHRONIC, CT HEAD, SUBACUTE, SUBDURAL HAEMORRHAGE, TRAUMA | TRAUMA, NEUROSURGERY |
| 9 | A tight squeeze | APNOEA TESTING, CEREBRAL OEDEMA, EDEMA, MONITOR, TBI, TRAUMATIC BRAIN INJURY, PSEUDO-SUBARACHNOID HAEMORRHAGE | TRAUMA, NEUROLOGY, NEUROSURGERY, MONITORING |
| 10 | Scedo... what? | ANTIFUNGAL, FUNGAL INFECTION, FUNGUS, INFECTIOUS DISEASES, MICROBIOLOGY,SCEDOSPORIUM PROLIFICANS, SEVERE BURNS, VORICONAZOLE | MICROBIOLOGY, INFECTIOUS DISEASES |
| 11 | Just do it! | AIRWAY, BRONCHOSCOPY, CHRIS NICKSON, DISPLACED, OBSTRUCTED, OWEN ROODENBURG,TRACHEOSTOMY, TUBE | RESPIRATORY, VENTILATION, AIRWAY |
| 12 | What does this monitor screen tell you about TBI? | BURST SUPPRESSION, ICP, PRIYA RAO, RAISED INTRACRANIAL PRESSURE, SEVERE TBI,THIOPENTONE, TRAUMATIC BRAIN INJURY | TRAUMA, NEUROLOGY, NEUROSURGERY, MONITORING |
| 13 | Where are the stripes? | LABS AND LYTES, NASAL JEJUNAL FEEDING TUBE, PRIYA RAO, RADIOGRAPHY, TIGER TUBE, X-RAY | GASTROINTESTINAL, EQUIPMENT |
| 14 | Salt of the Earth (Part 1) | ADAM DRENZLA, ARTERIAL, BIOCHEMISTRY, CONVULSION, HYPONATRAEMIA, HYPONATREMIA,ION SELECTIVE ELECTRODE, ISE, LABORATORY, MEASUREMENT, SEIZURE, VENOUS | METABOLIC, INVESTIGATIONS |
| 15 | ABGs in a case of respiratory failure | ABG, ARTERIAL BLOOD GAS, CHRONIC, FASCICULATIONS, HYPOXAEMIC, LABS AND LYTES,RESPIRATORY FAILURE, TAN AIK HAU | RESPIRATORY, ACID-BASE |
| 16 | Mastering the vascath | DIALYSIS, INSERTION, RENAL REPLACEMENT THERAPY, RRT, TROUBLE-SHOOTING, VASCATH,VUI KIAN HO | RENAL, EQUIPMENT AND MONITORING |
| 17 | A Chest Radiograph after Cardiac Surgery | CARDIAC SURGERY, CHEST RADIOGRAPH, CHEST X-RAY, CXR, KATHY JAO, LINES, PACING WIRES, SUPERIOR MEDIASTINAL MASS | RADIOLOGY, CARDIOTHORACIC SURGERY |
| 18 | Puzzling out PAC pressures | ADAM DRENZLA, ANATOMICAL VARIANCE, CENTRAL LINE, CXR, DIANE KELLY, MISPLACED,PERSISTENT, PLSVC | RADIOLOGY, CARDIOLOGY, MONITORING |
| 19 | Puzzling out PAC pressures | DAVID TUXEN, PAOP, PAWP, PDP, PULMONARY ARTERY CATHETER, PULMONARY ARTERY OCCLUSION PRESSURE, PULMONARY DIASTOLIC PRESSURE, RAP, RIGHT ATRIAL PRESSURE, WEDGE | CARDIOLOGY, MONITORING |
| 20 | Hypoxia after lung transplantation | CHEST RADIOGRAPH, CHRIS NICKSON, DAVID PILCHER, HYPOXIA, LUNG TRANSPLANT, PRIMARY GRAFT DYSFUNCTION | RESPIRATORY, TRANSPLANTATION |
| 21 | Alarming alarms | BRADYCARDIA, BRADYDYSRHYTHMIA, ISOPRENALINE, ISOPROTERENOL, PACING, SARAH YONG | CARDIOLOGY, RESUSCITATION |
| 22 | A case of TBI | CT BRAIN, ICP, RAISED INTRACRANIAL PRESSURE, SEVERE TRAUMATIC BRAIN INJURY, TBI,WAVEFORM, EMILY HARMAN | TRAUMA, NEUROSURGERY |
| 23 | Cyanosis, Boots and the 5Ts | ANTERIOR MEDIASTINAL MASS, CHRIS SIA, RIGHT-SIDED AORTIC ARCH, TETRALOGY OF FALLOT | CARDIOLOGY, CARDIOTHORACIC SURGERY |
| 24 | Belly ache and Rigler's Sign | ABDOMINAL X-RAY, INTESTINAL DIAMETER, INTRA-PERITONEAL GAS, RIGLER'S SIGN, CHRIS SIA | GASTROINTESTINAL, SURGERY |
| 25 | Why the alveolar opacitites? | ALVEOLOAR OPACITIES, CHEST X-RAY, INTERSTITIAL OPACITIES, PULMONARY FIBROSIS, CHRIS SIA | RESPIRATORY, |
| 26 | Double Trouble | ECG, HETEROTROPIC HEART TRANSPLANT, VENTRICULAR TACHYCARDIA, VIRGINIA NEWCOMBE,VT | CARDIOLOGY, INVESTIGATIONS |
| 27 | Location, location, location | CVC, EAMON RAITH, MISPLACED CENTRAL VENOUS CATHETER | RADIOLOGY, CARDIOLOGY, MONITORING |
| 28 | Own the EVD! | EVD, EXTERNAL VENTRICULAR DRAIN, HYDROCEPHALUS, ICP, INTRACRANIAL PRESSURE, NEUROSURGERY | NEUROSURGERY, MONITORING |
| 29 | CVC and Deep S | CENTRAL LINE, CENTRAL VENOUS CATHETER, COMPLICATIONS, CVC, DEEP SULCUS SIGN, EAMON RAITH, PNEUMOTHORAX | RADIOLOGY, MONITORING, RESPIRATORY |
| 30 | Bubbles aren't always a good thing | BRONCHIAL BLOCKER, BRONCHOPLEURAL FISTULA, CHEST DRAIN, DAVID ANDERSON, DOUBLE LUMEN ENDOTRACHEAL TUBE, VINAY BHARATULA | RADIOLOGY, RESPIRATORY |
| 31 | Oh sugar! | DAVID HUMPHREYS, HHS, HYPERGLYCAEMIA, HYPEROSMOTIC HYPERGLYCAEMIC STATE, HYPEROSMOTIC HYPERGLYCAEMIC SYNDROME, SARAH YONG | ENDOCRINOLOGY |
| 32 | Sending out an SOS | DEFIBROTIDE, LFTS, LIVER, SINUSOIDAL OBSTRUCTION SYNDROME, SOS, VENO-OCCLUSIVE DISEASE, VOD, XIUXIAN PHAM | HAEMATOLOGY, HEPATOLOGY |
| 33 | Can you interpret this ICU chest radiograph? | DAVID HUMPHREYS, FUNGAL INFECTION, LUNG TRANSPLANTATION, VV-ECMO | RESPIRATORY, RADIOLOGY |
| 34 | Weakness? Look at the gas... | NAGMA, NORMAL ANION GAP METABOLIC ACIDOSIS, RENAL TUBULAR ACIDOSIS, RTA, TYPE 1, URINARY ANION GAP, XIUXIAN PHAM | ACID-BASE, DATA INTERPRETATION |
| 35 | Epilepsy, collapse... NOT a seizure! | ANTI-CONVULSANTS, ANTI-EPILEPTICS, CHRISTIAN YUU, HYPONATREMIA, ENDOCRINOLOGY, LABORATORY, SIADH | BIOCHEMISTRY, ENDOCRINOLOGY, LABORATORY |
| 36 | Sugar rush | ABG, ARTERIAL BLOOD GAS, DIABETIC KETOACIDOSIS, DKA, GREG BROGAN, HIGH ANION GAP METABOLIC ACIDOSIS, RENATA PAJTAK | ENDOCRINOLOGY, DATA INTERPRETATION |
| 37 | Raspberry urine? | CYANIDE, FIRE, HYDROXOCOBALAMIN, RASPBERRY URINE, TOXICITY | TOXICOLOGY |