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CASE STUDY 27.1 A52-year-old man with a history of AIDS, hypertension, iabetes mellitus, and alcohol abuse...
A 52-year-old man with a history of AIDS, hypertension, diabetes mellitus, and alcohol abuse was found...
A 52-year-old man with a history of AIDS, hypertension, diabetes mellitus, and alcohol abuse was found unconscious in his home by his roommate. In the ER, he was hypotensive (103/60 mm Hg), febrile (101º F), and unresponsive. Computed tomography scan of the abdomen showed cholecystitis and gallstones. The patient was diagnosed with acute renal failure. He was administered intravenous fluids; BUN fell to 68 mg/dL and creatinine fell to 2.2 mg/dL. The patient’s blood culture report was positive for E....
Phil C., a 76-year-old man, was admitted though the ER with difficulty breathing, coughing, and chest...
Phil C., a 76-year-old man, was admitted though the ER with difficulty breathing, coughing, and chest pain. Chemistry Results 2/18 2/19 Reference Range Sodium Potassium Chloride CO2 Anion gap Glucose Bilirubin, total Troponin AST ALP Protein BUN Creatinine Calcium Albumin Digoxin CK CK-MB 141 4.4 107 27.0 5.0 95 0.3 <0.3 10 42 65 53 2.0 8.8 3.6 1.06 100 3.1 140 4.7 106 30.0 5.0 112 NT <0.3 NT NT NT 49 1.8 NT NT 0.82 NT 3.2 136-145...
CASE STUDY 6 A 28-year-old man presents to the emergency department with a complaint of abdominal...
CASE STUDY 6 A 28-year-old man presents to the emergency department with a complaint of abdominal pain. He appears quite ill with nausea, cold sweats, and tachycardia. He had taken aspirin when he started feeling sick. The patient appears slightly jaundiced and on further questioning admits that his urine had been dark and discolored that day. The preliminary impression was of acute appendicitis. Pertinent Hematology Results (refer to normal values in your text) WBC 6.3 x 10°/L RBC 1.00 x...
Case #4 Mr. Ali. is a seriously ill 42-year-old male with a history of several episodes...
Case #4 Mr. Ali. is a seriously ill 42-year-old male with a history of several episodes of microscopic hematuria in the past 20 years. Until recently the macroscopic hematuria had spontaneously reverted to a symptomatic microscopic hematuria. Significant lab results include a BUN of 80 mg/dl (N:8-23 mg/dl), serum creatinine of 4.5 mg/dl (N:0.6-1.2 mg/dl), creatinine clearance of 20 ml/min (N:107-139 ml/min), serum calcium of 8.0 mg/dl (N: 9.2-11.0 mg/dl), serum phosphate of 6.0 mg/dl (N:2.3-4.7 mg/dl), and an elevated...
Case #4 Mr. Ali, is a seriously ill 42-year-old male with a history of several episodes...
Case #4 Mr. Ali, is a seriously ill 42-year-old male with a history of several episodes of microscopic hematuria in the past 20 years. Until recently the macroscopic hematuria had spontaneously reverted to a symptomatic microscopic hematuria. Significant lab results include a BUN of 80 mg/dl (N:8-23 mg/dl), serum creatinine of 4.5 mg/dl (N:0.6-1.2 mg/dl), creatinine clearance of 20 ml/min (N:107-139 ml/min), serum calcium of 8.0 mg/dl (N: 9.2-11.0 mg/dl), serum phosphate of 6.0 mg/dl (N:2.3-4.7 mg/dl), and an elevated...
CLINICAL CHEMISTRY - RENAL FUNCTION CASE STUDY II A 30-year old woman with a history of...
CLINICAL CHEMISTRY - RENAL FUNCTION CASE STUDY II A 30-year old woman with a history of systemic lupus erythematosus was admitted to the hospital for renal function testing. The following results were obtained on her laboratory tests. Na 142 mmol/L K 4.9 mmol/L BUN 37 mg/dl Creatinine 3.9 mg/dl Urine Protein 4+ (by reagent strip) Also, oval fat bodies were observed microscopically and the urine appeared very milky. 1. Are any of the above results abnormal? 2. What is the...
Mr. K. G. is a thin 60-year-old man admitted to the hospital for cardiac catheterization for...
Mr. K. G. is a thin 60-year-old man admitted to the hospital for cardiac catheterization for recurrent angina. Past medical history includes hypertension, type 2 diabetes mellitus, and a previous myocardial infarction 2 years ago. Current medications are metformin (Glucophage), glipizide (Glucotrol), enteric-coated aspirin (Ecotrin), and lisinopril (Zestril). Laboratory tests on admission revealed the following: normal electrolyte levels; blood urea nitrogen (BUN), 40 mg/dL; and serum creatinine, 2.0 mg/dL. A complete blood cell count and urinalysis were unremarkable. Mr. K....
Genitourinary Disorders Scenario F.F, a 58-year-old man with type 2 DM (non-insulin-dependent diabetes mellitus), presents at...
Genitourinary Disorders
Scenario F.F, a 58-year-old man with type 2 DM (non-insulin-dependent diabetes mellitus), presents at the ED with severe R flank and abdominal pain, and NV. The abdomen is soft and without tendemess. The right flank is extremely tender to touch and palpation. VS are 142/80, 88, 20, 99.0°F; urinalysis shows hematuria; an IV of .9 NS is started and is to infuse at 125 ml/h. An IVP (intravenous pyelogram) confirms the diagnosis of a staghorn-type stone in the...
A 35-year-old man is admitted to the emergency department with chest pain; past history reveals other...
A 35-year-old man is admitted to the emergency department with chest pain; past history reveals other episodes of this same pain but of a shorter duration. Inquiry into his personal habits reveals that he is a cigarette smoker and that he follows a modified low-fat diet and engages in some regular exercise. His father died of ischemic heart disease at age 45, and other members of his family have had lipid-related disorders. Fasting blood is drawn for chemistry and hematology...
above is the patients info question: do the symptoms of this patient suggest AMI? would this...
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?
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...
CASE STUDY 6 A 28-year-old man presents to the emergency department with a complaint of abdominal pain. He appears quite ill with nausea, cold sweats, and tachycardia. He had taken aspirin when he started feeling sick. The patient appears slightly jaundiced and on further questioning admits that his urine had been dark and discolored that day. The preliminary impression was of acute appendicitis. Pertinent Hematology Results (refer to normal values in your text) WBC 6.3 x 10°/L RBC 1.00 x...
Case #4 Mr. Ali. is a seriously ill 42-year-old male with a history of several episodes of microscopic hematuria in the past 20 years. Until recently the macroscopic hematuria had spontaneously reverted to a symptomatic microscopic hematuria. Significant lab results include a BUN of 80 mg/dl (N:8-23 mg/dl), serum creatinine of 4.5 mg/dl (N:0.6-1.2 mg/dl), creatinine clearance of 20 ml/min (N:107-139 ml/min), serum calcium of 8.0 mg/dl (N: 9.2-11.0 mg/dl), serum phosphate of 6.0 mg/dl (N:2.3-4.7 mg/dl), and an elevated...
Case #4 Mr. Ali, is a seriously ill 42-year-old male with a history of several episodes of microscopic hematuria in the past 20 years. Until recently the macroscopic hematuria had spontaneously reverted to a symptomatic microscopic hematuria. Significant lab results include a BUN of 80 mg/dl (N:8-23 mg/dl), serum creatinine of 4.5 mg/dl (N:0.6-1.2 mg/dl), creatinine clearance of 20 ml/min (N:107-139 ml/min), serum calcium of 8.0 mg/dl (N: 9.2-11.0 mg/dl), serum phosphate of 6.0 mg/dl (N:2.3-4.7 mg/dl), and an elevated...
Genitourinary Disorders
Scenario F.F, a 58-year-old man with type 2 DM (non-insulin-dependent diabetes mellitus), presents at the ED with severe R flank and abdominal pain, and NV. The abdomen is soft and without tendemess. The right flank is extremely tender to touch and palpation. VS are 142/80, 88, 20, 99.0°F; urinalysis shows hematuria; an IV of .9 NS is started and is to infuse at 125 ml/h. An IVP (intravenous pyelogram) confirms the diagnosis of a staghorn-type stone in the...
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?
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...
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