A 65-year-old man with liver cirrhosis is admitted to the hospital with nausea and vomiting. He...
A 65-year-old man with liver cirrhosis is admitted to the hospital with nausea and vomiting. He also has a diagn and his serum albumin level is low. Describe how the factors identified in the patient's history would affect the following: a. absorption b. distribution c. metabolism d. excretion
Scenario (page 48) A 59-year-old man came to the emergency department because of nausea and vomiting, a slight fever, abdominal tenderness, and jaundice. Upon examination, he admitted drinking as many as 12 servings of alcohol per week, which he had done for the past ten years. Because of a recent injury to his knee, he had been taking up to eight 500 mg tablets of acetaminophen every day for the past two weeks. Tests revealed elevated liver enzymes, bilirubin, serum...
Admission date. January 29, 2019 57 year old male admitted from ER C/O nausea and vomiting, abdominal pain radiating to the right upper quadrant. Sclera icteric. Abdomen firmly distended with spider veins, skin shiny. The patient reports black stools. DX: Cirrhosis, ETOH abuse, bleeding esophageal varices. Labs: Na 120 mEq/L K 4.7mEq/L Cl 87mEq/L BUN 13 mg/dl Creatinine 1.6 mg/dl PTT 43 seconds (reference 23.7-32.7 seconds) RBC 2.88 X 10mm Hgb 9.1 g/dl Hct 26.9% Albumin 2.3 g/dl Please explain...
A 63-year-old woman who is admitted to the ICU from the ED with nausea, vomiting, and abdominal pain. The pain is located in the epigastric and LUQ regions Admission Lab Results Lipase 789 U/L Amylase 575 U/L ALP 139 U/L AST 436 U/L Total protein 4.6 g/dl Albumin 2.2 g/dl BUN 32 mg/dl Creatinine 1.4 mg/dl Glucose 203 ml/dl Calcium 7.2 mg/dl Potassium 3.2 mg/dl WBC 17,500 mm³ Which SPECIFIC labs results assist in confirming a diagnosis of pancreatitis? Why...
B.B. is a 55-year-old Native American man admitted with a diagnosis of end-stage liver disease due to cirrhosis. He was diagnosed 12 years ago and acknowledges that he had drunk heavily for 20 years, but has now been sober for 2 years. He has complaints of anorexia, nausea, and abdominal discomfort. On physical exam, he is thin and malnourished with moderate ascites. Skin and sclera are jaundiced. He has 4+ pitting edema up to his mid-thigh. The liver and spleen...
Case 1-Liver Cirrhosis A fifty-seven year old man with a history of alcohol abuse presents with the following signs or symptoms prolonged prothrombin time (PT); ascites and peripheral edema; enlarged breast tissue; steatorrhea, and periods of mental confusion; jaundice. He is diagnosed with alcoholic cirrhosis of the liver. 1. Define PT and explain why it is prolonged in our patient. What is the relationship between this value and his likelihood of clotting or bleeding abnormally? 2. What is portal hypertension?...
Adam is a 68-year-old male admitted to the hospital with a 1-month history of nausea, vomiting, and diarrhea resulting in weight loss and fatigue. He presents tachycardic with abdominal pain, fever, and chills. Adam is a retired engineer and lives at home with his wife. Anthropometric Data: Height: 165 cm (65”) Weight: 75 kg (165 lbs) BMI: 27.5 kg/m2 Weight History Usual body weight: 82 kg (180 lbs) 1 year ago Biochemical Data: Sodium 129 (135-145 mEq/L) Potassium 3.2 (3.6-5.0...
Adam is a 68-year-old male admitted to the hospital with a 1-month history of nausea, vomiting, and diarrhea resulting in weight loss and fatigue. He presents tachycardic with abdominal pain, fever, and chills. Adam is a retired engineer and lives at home with his wife On hospital day (HD) 3, you visit Adam and learn that he has been NPO since admission due to his medical GI evaluation. Because Adam is feeling better and his GI symptoms have resolved, the...
Adam is a 68-year-old male admitted to the hospital with a 1-month history of nausea, vomiting, and diarrhea resulting in weight loss and fatigue. He presents tachycardic with abdominal pain, fever, and chills. Adam is a retired engineer and lives at home with his wife On HD 6, Adam undergoes an urgent laparotomy for a severe gastric ulcer with perforation. On postoperative (postop) day 1/HD 7, you visit Adam for reassessment. He is currently in the ICU on mechanical ventilation...
Adam is a 68-year-old male admitted to the hospital with a 1-month history of nausea, vomiting, and diarrhea resulting in weight loss and fatigue. He presents tachycardic with abdominal pain, fever, and chills. Adam is a retired engineer and lives at home with his wifeIt is now postoperative day 6/HD 12 and Adam remains in the ICU. He is currently receiving enteral nutrition support since postop day 3, which provides him with 1,700 calories and 100 g protein. Anthropometric Data:...