Labs and Lytes

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:

NumberTitleKeywordsTopic
1A black and white caseCHEST X-RAY, COLLAPSE, CXR, OPACITY, RIGHT MAIN BRONCHUS INTUBATIONRADIOLOGY, RESPIRATORY
2It might be carcinoidBRONCHUS, CARCINOID, HILAR MASS, LUMBAR VERTEBRA, LYTIC LESION, NARROWINGONCOLOGY, ENDOCRINOLOGY
3It's in the bloodBETA, FBC, FBE, FULL BLOOD COUNT, HAEMATOLOGY, MICROCYTIC ANEMIA, MICROCYTOSIS, NICK BINGHAM, THALASSEMIAHAEMATOLOGY, LABORATORY
4That's A Very Interesting Chest X-rayCHEST X-RAY, CT CHEST, CXR, ICC, INTERCOSTAL CATHETER, TAVI,TRANSCATHETER AORTIC VALVE IMPLANT, TRAUMARADIOLOGY, CARDIOTHORACIC SURGERY
5Not all fever is infectionACUTE INTERSTITIAL NEPHRITIS, DRUG FEVER, DRUG REACTION, TAZOCINPHARMACOLOGY, RENAL, INFECTIOUS DISEASES, LABORATORY
6A liver that needs a restALCOHOL, ALCOHOLIC HEPATITIS, AMMONIA, HEPATOMEGALY, LFTS, LIVER DISEASE, LIVER FUNCTION TESTSGASTROINTESTINAL, LABORATORY
7What's up with this pacing swan?CHEST RADIOGRAPH, MONITOR, PACING, PRESSURE WAVEFORMS, PULMONARY ARTERY CATHER, SWAN-GANZ CATHETER, X-RAYCARDIOLOGY, MONITORING
8How new is new?ACUTE, CHRONIC, CT HEAD, SUBACUTE, SUBDURAL HAEMORRHAGE, TRAUMATRAUMA, NEUROSURGERY
9A tight squeezeAPNOEA TESTING, CEREBRAL OEDEMA, EDEMA, MONITOR, TBI, TRAUMATIC BRAIN INJURY, PSEUDO-SUBARACHNOID HAEMORRHAGETRAUMA, NEUROLOGY, NEUROSURGERY, MONITORING
10Scedo... what?ANTIFUNGAL, FUNGAL INFECTION, FUNGUS, INFECTIOUS DISEASES, MICROBIOLOGY,SCEDOSPORIUM PROLIFICANS, SEVERE BURNS, VORICONAZOLEMICROBIOLOGY, INFECTIOUS DISEASES
11Just do it!AIRWAY, BRONCHOSCOPY, CHRIS NICKSON, DISPLACED, OBSTRUCTED, OWEN ROODENBURG,TRACHEOSTOMY, TUBERESPIRATORY, VENTILATION, AIRWAY
12What does this monitor screen tell you about TBI?BURST SUPPRESSION, ICP, PRIYA RAO, RAISED INTRACRANIAL PRESSURE, SEVERE TBI,THIOPENTONE, TRAUMATIC BRAIN INJURYTRAUMA, NEUROLOGY, NEUROSURGERY, MONITORING
13Where are the stripes?LABS AND LYTES, NASAL JEJUNAL FEEDING TUBE, PRIYA RAO, RADIOGRAPHY, TIGER TUBE, X-RAYGASTROINTESTINAL, EQUIPMENT
14Salt of the Earth (Part 1)ADAM DRENZLA, ARTERIAL, BIOCHEMISTRY, CONVULSION, HYPONATRAEMIA, HYPONATREMIA,ION SELECTIVE ELECTRODE, ISE, LABORATORY, MEASUREMENT, SEIZURE, VENOUSMETABOLIC, INVESTIGATIONS
15ABGs in a case of respiratory failureABG, ARTERIAL BLOOD GAS, CHRONIC, FASCICULATIONS, HYPOXAEMIC, LABS AND LYTES,RESPIRATORY FAILURE, TAN AIK HAURESPIRATORY, ACID-BASE
16Mastering the vascathDIALYSIS, INSERTION, RENAL REPLACEMENT THERAPY, RRT, TROUBLE-SHOOTING, VASCATH,VUI KIAN HORENAL, EQUIPMENT AND MONITORING
17A Chest Radiograph after Cardiac SurgeryCARDIAC SURGERY, CHEST RADIOGRAPH, CHEST X-RAY, CXR, KATHY JAO, LINES, PACING WIRES, SUPERIOR MEDIASTINAL MASSRADIOLOGY, CARDIOTHORACIC SURGERY
18Puzzling out PAC pressuresADAM DRENZLA, ANATOMICAL VARIANCE, CENTRAL LINE, CXR, DIANE KELLY, MISPLACED,PERSISTENT, PLSVCRADIOLOGY, CARDIOLOGY, MONITORING
19Puzzling out PAC pressuresDAVID TUXEN, PAOP, PAWP, PDP, PULMONARY ARTERY CATHETER, PULMONARY ARTERY OCCLUSION PRESSURE, PULMONARY DIASTOLIC PRESSURE, RAP, RIGHT ATRIAL PRESSURE, WEDGECARDIOLOGY, MONITORING
20Hypoxia after lung transplantationCHEST RADIOGRAPH, CHRIS NICKSON, DAVID PILCHER, HYPOXIA, LUNG TRANSPLANT, PRIMARY GRAFT DYSFUNCTIONRESPIRATORY, TRANSPLANTATION
21Alarming alarmsBRADYCARDIA, BRADYDYSRHYTHMIA, ISOPRENALINE, ISOPROTERENOL, PACING, SARAH YONGCARDIOLOGY, RESUSCITATION
22A case of TBICT BRAIN, ICP, RAISED INTRACRANIAL PRESSURE, SEVERE TRAUMATIC BRAIN INJURY, TBI,WAVEFORM, EMILY HARMANTRAUMA, NEUROSURGERY
23Cyanosis, Boots and the 5TsANTERIOR MEDIASTINAL MASS, CHRIS SIA, RIGHT-SIDED AORTIC ARCH, TETRALOGY OF FALLOTCARDIOLOGY, CARDIOTHORACIC SURGERY
24Belly ache and Rigler's SignABDOMINAL X-RAY, INTESTINAL DIAMETER, INTRA-PERITONEAL GAS, RIGLER'S SIGN, CHRIS SIAGASTROINTESTINAL, SURGERY
25Why the alveolar opacitites?ALVEOLOAR OPACITIES, CHEST X-RAY, INTERSTITIAL OPACITIES, PULMONARY FIBROSIS, CHRIS SIARESPIRATORY,
26Double TroubleECG, HETEROTROPIC HEART TRANSPLANT, VENTRICULAR TACHYCARDIA, VIRGINIA NEWCOMBE,VTCARDIOLOGY, INVESTIGATIONS
27Location, location, locationCVC, EAMON RAITH, MISPLACED CENTRAL VENOUS CATHETERRADIOLOGY, CARDIOLOGY, MONITORING
28Own the EVD!EVD, EXTERNAL VENTRICULAR DRAIN, HYDROCEPHALUS, ICP, INTRACRANIAL PRESSURE, NEUROSURGERYNEUROSURGERY, MONITORING
29CVC and Deep SCENTRAL LINE, CENTRAL VENOUS CATHETER, COMPLICATIONS, CVC, DEEP SULCUS SIGN, EAMON RAITH, PNEUMOTHORAXRADIOLOGY, MONITORING, RESPIRATORY
30Bubbles aren't always a good thingBRONCHIAL BLOCKER, BRONCHOPLEURAL FISTULA, CHEST DRAIN, DAVID ANDERSON, DOUBLE LUMEN ENDOTRACHEAL TUBE, VINAY BHARATULARADIOLOGY, RESPIRATORY
31Oh sugar!DAVID HUMPHREYS, HHS, HYPERGLYCAEMIA, HYPEROSMOTIC HYPERGLYCAEMIC STATE, HYPEROSMOTIC HYPERGLYCAEMIC SYNDROME, SARAH YONGENDOCRINOLOGY
32Sending out an SOSDEFIBROTIDE, LFTS, LIVER, SINUSOIDAL OBSTRUCTION SYNDROME, SOS, VENO-OCCLUSIVE DISEASE, VOD, XIUXIAN PHAMHAEMATOLOGY, HEPATOLOGY
33Can you interpret this ICU chest radiograph?DAVID HUMPHREYS, FUNGAL INFECTION, LUNG TRANSPLANTATION, VV-ECMORESPIRATORY, RADIOLOGY
34Weakness? Look at the gas... NAGMA, NORMAL ANION GAP METABOLIC ACIDOSIS, RENAL TUBULAR ACIDOSIS, RTA, TYPE 1, URINARY ANION GAP, XIUXIAN PHAMACID-BASE, DATA INTERPRETATION
35Epilepsy, collapse... NOT a seizure!ANTI-CONVULSANTS, ANTI-EPILEPTICS, CHRISTIAN YUU, HYPONATREMIA, ENDOCRINOLOGY, LABORATORY, SIADHBIOCHEMISTRY, ENDOCRINOLOGY, LABORATORY
36Sugar rushABG, ARTERIAL BLOOD GAS, DIABETIC KETOACIDOSIS, DKA, GREG BROGAN, HIGH ANION GAP METABOLIC ACIDOSIS, RENATA PAJTAKENDOCRINOLOGY, DATA INTERPRETATION
37Raspberry urine? CYANIDE, FIRE, HYDROXOCOBALAMIN, RASPBERRY URINE, TOXICITYTOXICOLOGY

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