things to learn:
- features of anaphylaxis
- features of angioedema
- what is C1-esterase inhibitor deficiency
- emergency management of acute renal failure (how did we know it was acute?)
- investigation of acute renal failure
- ECG signs of hypo- & hyper-kalaemia
- indications for urgent dialysis
- causes of low Na
- causes of low K
- causes of low platelets
- causes secondary hypertension
- clinical features of aortic dissection (benton episode - anyone know? also of note is that gerard houllier had an acute dissection in 2001)
things i learnt:
- 1 patient can teach us a lot of things
- following up patients is crucial, if we never put together the whole story, ie one with and 'end' we never really understand things
- those algorithms about what to do if x happens are only good up to a point, what you/i need is awareness of those algorithms + experience of applying them to real people
questions:
- if he had not had a reaction to a medication would he be dead now? [are we sure it was drug-related?]
- if he came into casualty tomorrow & you were the house officer, would you know how to treat him?
resources:
- davdisons cases has a good case about C1-esterase inhibitor deficiency
anyone find anything else?
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Just to f/u this guy. Renal biopsies showed only damage secondary to hypertension. He refused dialysis and DNA'd all subsequent appointments, so we never got an 'answer'
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