A 65-year-old man is referred by his GP with two weeks of worsening confusion. GP blood tests show a serum sodium of 110 mmol/L, with a reference range of 135-145 mmol/L.
While awaiting admission to the medical ward he is found on the floor beside his bed with severe right hip pain. His pelvis X-ray is shown below.
You decide to perform a femoral nerve block. His daughter then arrives in ED and is very upset about his condition and treatment.
Pelvis X-ray.
List four historical features you would seek to determine the underlying cause of the hyponatraemia, and include the clinical relevance of each.
(Marked out of 4.0)
/ 4
List four examination findings you would seek to determine the underlying cause of the hyponatraemia, and include the clinical relevance of each.
(Marked out of 4.0)
/ 4
List four investigations that would help determine the underlying cause of the hyponatraemia, and justify each choice.
(Marked out of 4.0)
/ 4
Describe the abnormalities on the pelvis X-ray.
(Marked out of 3.0)
/ 3
Complete the table with the maximum safe doses for the listed local anaesthetic agents.
(Marked out of 2.0)
/ 2
State six important features of your discussion with the patient's daughter.
(Marked out of 6.0)
/ 6
Total Score: 0 / 23
Percentage: 0%
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