When is ALP significantly elevated?
What is Hyperkalaemia
Plasma potasssium levels are high
Causes of hyperkalaemia
-AKI
- drugs (potassium sparing diuretics, ae inhibitors, angiotensin 2 blockers, spironolactone, cyclosporine milk heparin)
- metabolic acidosis
- Addison’s
-rhabdomyolosis
- blood transfusion
How to test for hypocalcaemia?
Parathyroid test
Bony mets often present as?
Back pain
Lethargy
Raised ALP
Does hepatocellular carcinoma cause raised LFTS
Yes, bone mets are isolated to ALP
What is hyponatraemia?
Low sodium levels in the blood
Causes of hyponatraemia?
Water excess or depletion
SIADH is what?
Syndrom eo inappropriate ADH secretion