To learn more about the clinical presentation of acute renal
failure and diagnostic procedure, consult:
■...
To learn more about the clinical presentation of acute renal
failure and diagnostic procedure, consult:
■ Epocrates Online: [Pathway: http://online.epocrates.com →
enter “acute renal failure” into the search fi eld → review “Key
Highlights” and “History & Exam”]
A nephrologist was consulted based on the metabolic and
urinalysis results. Thenephrologist wanted to challenge Kimberly’s
kidneys by diuresis. Kimberly was started on normal saline at 150
mL/hr and IV Lasix 100 mg every 12 hours and Kayexalate 30 g was
given...
The makers of Excedrin Extra Strength advertise that
its fast-acting formula delivers extra strength headache relief...
The makers of Excedrin Extra Strength advertise that
its fast-acting formula delivers extra strength headache relief in
no more than 15 minutes, on average. A consumer advocacy group
believes that this claim is incorrect, and that the true average
headache relief time is significantly longer than 15 minutes.
To test their belief, the consumer advocacy group took a random
sample of 45 hospital patients who were currently experiencing a
headache and administered a dose of Excedrin Extra
Strength pain reliever....
A female patient, age 15, is brought to the hospital
emergency room with complaints of recurrent...
A female patient, age 15, is brought to the hospital
emergency room with complaints of recurrent kidney infections. The
patient has stated that she has regular menstrual periods. The ER
physician writes orders for a renal sonogram.
After taking the appropriate images of the kidneys, the
sonographer begins taking a sonogram of the patient’s urinary
bladder. The sonographer notes that the female is about 20 weeks
pregnant and that there is no active fetal heartbeat.
The patient’s mother is in...
Patient, Male ,40, Three days of cramps, Anuria ,3 days,
Physical examination: acute appearance, Cardiopulmonary (1),...
Patient, Male ,40, Three days of cramps, Anuria ,3 days,
Physical examination: acute appearance, Cardiopulmonary (1), Right
lower abdomen has tenderness, No obvious rebound, The kidney is
missing, Right renal area percussion tenderness. Biochemical
examination: mmol/L, K+6.5 Na+128 mmol/L, cl-90mmol/L, CO2 binding
rate :14 mmol/L, Blood urea nitrogen :25 mmol /L, Serum creatinine
800 umol/L .KUB: right third lumbar transverse process of high
density shadow about 1.2 cm×1.0 cm size, Left kidney antler -
shaped high density shadow.
(1)What is...
Ms. L is being discharged from the acute care facility after
admission for atrial fibrillation. While...
Ms. L is being discharged from the acute care facility after
admission for atrial fibrillation. While she was in the acute care
facility, it was discovered that Ms. L also has essential
hypertension. She has no prior history of medical problems. She is
45 years old and lives with her two aging parents, who have
multiple health problems. Ms. L is responsible for most of their
care. She states, “I really need to know about the digoxin and
verapamil that...
What is your differential diagnosis regarding this patient?
Patient information: 50-year-old man, with substernal chest
pain....
What is your differential diagnosis regarding this patient?
Patient information: 50-year-old man, with substernal chest
pain. He was partying when he felt a pain across his chest that is
also radiating to his neck. Pain is slowly improving due to
receiving Percocet from his friend. He states that he has had
nausea, vomited three times, palpitations, and a headache that is
worsening. He is currently taking hypertension medication and
medications for erectile dysfunction. Patient has occasional drug
use with cocaine...
Chapter 43 Liver, Biliary Tract, and Pancreas
Problems
Acute Pancreatitis
Patient Profile
K.Z. is a 39-year-old...
Chapter 43 Liver, Biliary Tract, and Pancreas
Problems
Acute Pancreatitis
Patient Profile
K.Z. is a 39-year-old man who presents to the emergency
department describing severe pain in his abdomen that started after
he went to bed last night. He has a history of hypertension. He is
currently taking hydrochlorothiazide and lisinopril.
Subjective Data
Has severe, sharp pain in his abdomen and points to his left
upper quadrant 10/10
Pain got worse after he ate breakfast this morning; he vomited,
but...