SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Elderly fall with metabolic derangement

An 82-year-old woman has been found on the floor at home following a fall 24 hours prior.

  • GCS 14
  • HR 115
  • HR 85/40
  • RR 26
SpO@ 98% RA T 34.8 VBG: pH 7.21 pCO2 30 HCO3 15 Na 140 K 8.6 Cl 104 Glucose 48.2 Urea 40.3 Creat 324

1. Interpret the acid-base abnormalities providing formulae for your calculations and the likely cause(s) for each. 4 marks

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2. State (3) other abnormalities providing explanation for each. 3 marks

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Further assessment reveals no injuries from the fall. You think a UTI has been the cause of the fall.

3. Briefly outline (5) priorities of your initial management. 5 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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