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26th June 2023
A 21-year-old male attends A&E with a rash and joint pain and has been feeling shivery.
A 21-year-old male attends A&E with a rash and joint pain and has been feeling shivery. He has no long-term medical conditions but three days ago he went to his GP for a spreading erythematous area on his lower leg following an insect bite and was started on flucloxacillin for likely cellulitis.
Observations: RR 12, HR 67bpm, BP 150/70, O2 saturations 97% on air, Temperature 37.1oC
Blood results:
| Na+ | 141 mmol/L | (135-145 mmol/L) |
| K+ | 5.4 mmol/L | (3.5 – 5.3 mmol/L) |
| Urea | 12 mmol/L | (2.0-7 mmol/L) |
| Cr | 300 μmol/L | (55-120 μmol/L) |
| Alb | 38 g/L | (34-54 g/L) |
| AST | 15 IU/L | (3-30 IU/L) |
| ALT | 20 IU/L | (3-40 IU/L) |
| ALP | 30 IU/L | (30-100 IU/L) |
| Total Bilirubin | 3 μmol/L | (3-17 μmol/L) |
| Urinalysis | Leukocytes positive, white cell casts present | |
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