Clinical Case Database / Category: Case Based Discussion

Assessment of acid-base balance

Publication details

Dr Richard Baker, Dr S Sajid
Foundation Years Journal, volume 2, issue 10, p.420 (123Doc Education, London, December 2008)


A 43-year-old woman presents to the emergency department with diarrhoea and vomiting. She is under regular follow-up of the renal department due to Stage 4 Chronic Kidney Disease (CKD). The cause of her renal disease was autosomal dominant polycystic kidney disease and her last creatinine level in the clinic was 280mmol/L (estimated GFR = 17 ml/min/1.73 m^2)

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Dr Richard Baker

Consultant Renal Physician and Honorary Clinical Senior Lecturer
Renal Unit
St. James University Hospital
Beckett Street
Leeds LS9 7TF

Dr S Sajid (Corresponding author)

Renal Unit
Lincoln Wing
St James’s University Hospital
Leeds LS9 7TF




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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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