Wednesday, February 15, 2012

Burn victim

When I was an intern on the medicine consult service, we got consulted about a patient on the plastic surgery service with a history of hypertension and diabetes who had suffered third degree burns on his buttocks.

When I was checking his labs, I was shocked to see that in the week he had been in the hospital, only ONE lab test had ever been ordered.

Pop quiz: What lab test was it?

22 comments:

  1. Ceruloplasmin, to see if he might have Wilson's Disease causing him to fall and burn his rear end while doing the happy dance over a hot stove.

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  2. HbA1C, to make sure his metformin is just right.

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  3. TGA for celiac's? (maybe he ate a cheeseburger on a bun while camping and was standing too close to a campfire before he ignited.)

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  4. mrsa screening which is done on every hospital admit where I was last week.

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  5. For any STD? Dunno. Stupid situation requires stupid answer... =)

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  6. Pregnancy test. In case he got shocked by realizing he was the first male ever to become pregnant and fell backwards onto the stove.

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  7. Prealbumin...it's the only blood test that the burn service at our hospital can reliably order.

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  8. Prealbumin ordered by surgery.

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  9. I'd hope it would be something relevant like wound culture...but I'm going to guess O2 sats.

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  10. SpO2 is not a lab test. I'd just go with lytes.

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  11. SHOULD be some k's, albumin, maybe some MB's if burns are recent maybe? ABGs could also make lots of sense.
    But I'm guessing it was a Wallet Dipstick and a vitamin D level.

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