Another month of consult service and another flight of merit badges:
The first is for the case of rhabdo described in this post.
The second was for a particularly vexing acid-base conundrum that left us all scratching our heads.
Goodpastures Syndrome we made by history and U/A. We found a RBC cast that along with the description of hemoptysis a month prior to admission directed us to the diagnosis. Unfortunately we were too late and unable to salvage any kidney function and the patient now is on dialysis looking for a transplant. When I asked what to do for the badge, my fellow suggested a frowny face.
The badges can be downloaded as a PDF or Pages document and print beautifully on Avery 5163