Options

A Waterhous-Friederrichson Syndrome	D ACTH secreting lung tumour	G secondary hyperaldosteronism
B drip arm	E SIADH 2^nd to TB	H Addisons
C Bartter’s Syndrome	F DKA	I  anorexia nervosa

1

70yr PC with weakness and weight loss.  has a long history of cough that he attributes to smoking.  On examination the GP notices moon face.  His blood results have come back:

K+ 2.1 mmol/L; Na+ 140, Ur 4.5, Cr 80.

ANS: D

2

Mrs Kenobe is in hospital for end stage renal failure.  A rather confident 3^rd yr student clerks and takes blood.  On examination the student notices she in unwell.

K+ 1.1; Na+ 102;  Ur 0.7; Cr 28.

ANS B

3

Young SE Asian man is seen at Ealing Hospital, unwell with history of weight loss and productive cough.

K+ 3.5; Na+ 120; Ur 5; Cr 70

ANS E

4

19yr old girl brought in by concerned mother for faints.

History of weight loss, fatigue, loos of appetite and low self esteem.

K+ 6.9; Na+ 129; Ur 10, Cr 60

ANS H

5

21yr old medical student admitted to ITU for meningococcal septicaemia, blood pressure remaining low.  You are bleeped to check her blood results.

K+ 7; Na= 128; Ur 5; Cr 89.

ANS A