Question

Case Scenario 2 (4 pts) An 83-year-old man with known severe coronary artery disease, diffuse small vessel disease, and significant stenosis distal to a vein graft from previous CABG surgery, was admitted when his physician referred him to the hospital after a routine office visit. His symptoms included 3+ pedal edema, jugular vein distention, and heart sound abnormalities. Significant laboratory data obtained upon admission were as follows: Urea nitrogen (6-24 mg/dL) 53 Creatinine (0.5-1.4 mg/dL) 1.2 Total protein (6.0-8.3 g/dL) 5.8 Albumin (3.5-5.3 g/dL) 3.2 Glucose (60-110 mg/dL) 312 Calcium (4.3-5.3 mEq/L) 4.1 Phosphorus (2.5-4.5 mg/dL) 2.4 Total CK (54–186 U/L) 134 CK-MB (0–5 ng/L) 4. % CK-MB (<6%) 3% Myoglobin (<70 ug/L) 62 Troponin T (0-0.lug/L) 0.2 BNP (< 100 pg/mL) 425

above is the patients info

question:

do the symptoms of this patient suggest AMI? would this diagnosis be AMI due to the laboratory data? based on the laboratory data are there organ system abnormalities present, if so what are the indicators of the organ system abnormalities?

Answer 1

aute mocardial infarction as it is common to have pedel celema juguler vem distensions abnormal heart sounds such as Systolic mermers paralloxical splittig of second heart tound a pericordial friction rulb, roles ones lungs may I be present 3 This diagnosis may be attributed to los deta Vas Troponin't is elevated which ; a cardiac enzyme elevated in myocarded infarction . Based on Lob defa there may be certain organ system abnormalities liker o Elevated BNP may be suggestive of Reval failure liver carboris

- - Renal failure may be there as there is req lovel of urea hetrogen Diabetes mellitus on boss of gluose levels in blood. Lewer abnormality on best of decreased totes frotein a gelbume level. I CS Scanned with CamScanner