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Teachable Moment |

Hemodialysis in a Healthy Patient—A Case of an Erroneous Laboratory Result A Teachable Moment

Megan E. Himmel, PhD1; Kenneth Lam, MD2; Michael Fralick, MD2
[+] Author Affiliations
1University of Toronto Medical School, Toronto, Ontario, Canada
2Internal Medicine Program, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
JAMA Intern Med. 2016;176(4):431-432. doi:10.1001/jamainternmed.2015.8447.
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This case of a 49-year-old woman who was admitted for presumed methanol poisoning highlights the importance of ordering appropriate investigations and considering an unexpected laboratory value in the context of the patient’s clinical signs and symptoms.

Article InformationCorresponding Author: Megan Himmel, PhD, Undergraduate Medical Education–Faculty of Medicine, Medical Sciences Building, One King’s College Circle, Room 2111, Toronto, ON, M5S 1A8, Canada (megan.himmel@mail.utoronto.ca).

Correction: This article was corrected on July 5, 2016, to fix a calculation error related to conversion of SI (International System of Units) to empirical units for the serum ethanol level and the normal range of methanol.

Published Online: February 22, 2016. doi:10.1001/jamainternmed.2015.8447.

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for granting permission to publish this information. In addition, we thank Bourne Auguste, MD, Chief Medical Resident and Resident Physician, Women’s College Hospital, Toronto, Ontario, Canada, and Allan Detsky, MD, PhD, FRCPC, Department of Health Policy, Management and Evaluation, and Medicine, University of Toronto, Ontario, Canada, for guidance and critical review of the manuscript. No compensation was received for their contributions.

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