Supportive therapy, maintain hydration, oxygenation, treat complications SAQ 24: (10 marks) A previously well 2 year old boy presents acutely unwell with tachypnoea and abdominal pain. VBG results are shown below. pH 7.20 Pc02 25 BIC 10 BASE EXCESS -16.4 k 4.5 NA 138 cL 96 List the further investigations you request at this time with justification for each. (7 marks) BSL hypoglycaemia –r/o Hb be significantly lowered if intrabdominal haemorrhage –may WBC high elevation in infection/inflammatory conditions and abnormal cell lines if –nonspecific –but underlying/undiagnosed leukaemia etc Cr/Urea in/out acute renal failure –rule LFTs in some tox (eg paracetamol) or primary liver diagnoses eg. –elevated
Supportive therapy, maintain hydration, oxygenation, treat complications SAQ 24: (10 marks) A previously well 2 year old boy presents acutely unwell with tachypnoea and abdominal pain. VBG results are shown below. pH 7.20 Pc02 25 BIC 10 BASE EXCESS -16.4 k 4.5 NA 138 cL 96 List the further investigations you request at this time with justification for each. (7 marks) BSL –r/o hypoglycaemia Hb –may be significantly lowered if intrabdominal haemorrhage WBC –nonspecific –but high elevation in infection/inflammatory conditions and abnormal cell lines if underlying/undiagnosed leukaemia etc Cr/Urea –rule in/out acute renal failure LFTs –elevated in some tox (eg paracetamol) or primary liver diagnoses eg.
Adelaide-SAQ-Exam-answers-2015.1.docx