Question

An 80-year-old alcoholic was admitted with a diagnosis of hypertension, congestive heart failure, anemia, possible diabetes, and chronic renal failure. What test would you order?

Answer 1

An 80-year-old alcoholic was admitted with a diagnosis of hypertension, congestive heart failure, anemia, possible diabetes, and chronic renal failure.

The test should order to this patient includes

1. CBC (Complete blood count) & RBC Morphology

This investigation will give information about hemoglobin and appearance of RBC. This test also gives some information about WBC count so, we can identify infections level in body.

2. Renal Function Test

This includes Serum urea, Serum creatinine, Serum sodium, Serum potassium and Uric Acid. We can also include BUN(Blood urea Nitrogen)

4. Liver Function Test

This test gives information about the functional status of the liver, it includes albumin, protein, bilirubin (direct and indirect), cholesterol, AST, ALT and others.

5. Glycemic index to assess diabetes

Fasting blood sugar, PPBS and HbA1C

6. Chest x ray to identify pulmonary edema due to Heart failure.

These are the initial test should be done for this patient, Accordig to these test reports we can go for further diagnosis.