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British Association for Cytopathology June 2023 Case Study

Urine Cytology and Ethylene Glycol Poisoning

Sue Smith Advanced Practitioner Pathlinks, Lincoln County Hospital

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Clinical Information

• 57 year old woman admitted to A&E with reduced consciousness and aphasia.

• History of severe osteoarthritis, depression and previous mixed substance overdose.

• Blood tests show base excess of -15.5mmol/L and pH 7.16 Patient is acidotic.

• CT head showed no acute intra-cranial pathology.

• Suspected mixed substance overdose.