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1:37 • ME Done ARF STUDENT Acute Renal Failure Case Study HPI Me JR. Ia 73-yearold man who was admitted to the hospital with clinical ostroenteritis and possible water. The patient’s chief complaints are with vomiting and data for 4 weken die and bother.com taste in the mouth. The patients pole and wat had been well the two due so, where he began to experience hours after eating the Burritos for The bus badendered from alltid pressed, he continued to feedery bad and took te veprime to help ach. Soon thereafter he began to feel aches and warm. If the Henri, comanda futben een an old fade oligid Since yesterday, he has to Satury bowel met Bebas dany wood in the sosis wife the Rewa weak and die when he tried to stand His wieder med lates of the calfeine ar that her husband has acting and PMH . • HIN X 14 years PAMIX 10 years • Heartley No known renal disease or DM • Osteoarthritis DVT at age 6l, treated with anticapulants for year FH • Father died at ape 50 from AMI • Mother has type 2 DM Han two heuthers , both live with no kura medical probleme Hostwo without medical problem SH Keilpharmweis with his wife • Benesowel anders 2 cupsole masimdaily ROS Was wat performed in patient hely Meds Dim 01 OD Fun El 20 de fermenide to manage HN • OTC acrtate PR All Sullarps please) . Moldes – Physical Examination and Laboratory Tests General The point is pole diaphrain The par une with accend them 1:37 – E Done ARF STUDENT Physical Examination and Laboratory Tests General The diabeteellinenlen male indstions. The patient com Arterial Blood Gas Results Ser Point Cow Tohle 301 Patient Case Table 30.1 Arterial blood Gas Results Purient Cow Curstin I. Bude the imati printed on which are se we are we? Moni Come Out 2 more VS Section The Patient Case Table 30.2 Vital Signs H11 Skin di chi Pellent Cew Or 1. www.thegional per tudom HEENT • PERLA DOMI • Controle NorthTM • Neder where we • Melandry • The • Stipeythem in the Neck/LN NIVOR Now who • No come Heart Sunds FS Lungs 1:37 + UE Done ARF STUDENT Lungs No crackbally Abd stand endisented with the bowl and Genit/Rect Sighed in the retom MS/Ext Normalmente NCCE – he way euro 40 • CN de pelar el hal Nominal Patent Case Owestie 7. Wat he came hermed dig ! Laboratory Blood Test Results See Patient Case Table 30.3 Patient Case Table 30.J Laboratory Blood Test Results INS 181 2. UP K 47 met Geminom 5 dl 16 US CI HO Cn + Hat Pin 41 BUN 37Me 2. med WC Patient Case Owestion Dompotassium phosphate, calcium.de concentrations sugest that intrarmal acute mal flare developed Patient Case Owestion. Why might the rumlocene Ind be awal Patient Case Question 10. Would you expect electrocardiogramarmalities in this patient? Why or why not? Patient Case Ontion 11. If acute renal failure progress to chronic malah hemoglobin and hematocrit may decrease significantly and peripherald indicate a sormachromie anemia. So the mechanic thalplain the malengobin Bevelhematocrind peripheral blood Patient Case Question 12. Which laboratory data that the section proble viral and not bacterial Patient Case Owsion 13. Why is it appropriate cine phase Sy was not deed 1:38 LTE Done ARF STUDENT Laboratory Blood Test Results See Patient Cau Table 103 Patient Case Table 30. Laboratory Blood Test Results 1440 2 SPINS 4.7 mL Grande 15 h Lamp Het HICO 19 The 41 min 1996 2. W NA M a BUN Patient Case Question & Doserum potassium, phosphate, calcium and me concentrations spent that intrareal acute renal talentos de loped Patient Case Owestion. Whey might the wrum cose level baba! Pari Case Question 10. Would you expect electrocambole pat? Why of Patient Case Owestion II. cute renal failure progress to chuc malo hemoglobin und hematocrit may decrease significantly and peripheral blood indicate a nemocytic ormochromic anemia Stw paths och that explain the abnormal hemoglobin level bemerit and peripheral blood Patient Gestion 12. Which laboratory data that the infectie bly viral and not bacterial? Patient Case Owestán Is Why is it appreciate that a serum creatinine prekinese UA • Clear, pale yellow urine • Microscopy was negative for cells, casts, pigments, and crystals SG 1.019 • (-) bacteria .-) glucose • proti • WECHIPF with me oninephile • RECHT Na concentration – 14 met • Osmolality – 769 mm 1,0 Patient Case Ouestion 14. Which urinalysis informations that aculeata ure in this patient is not the result of gamelar disease Patient Case Owestion IS. Do the urinary microscopic is specific pro concentration, and eumolality premlacute renal fatbure or intrarea acterem failure associated with acute tubular necrosis? 2 2
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