Read e-book online 100 Cases for Medical Data Interpretation PDF
By David Howlett, Nicola Gainsborough
Part 1: medical chemistry Case 1: aged girl with background of vomiting Case 2: An aged guy with shortness of breath Case three: a girl with headache Case four: An aged guy with a cough Case five: a lady with stomach ache Case 6: A depressed aged guy Case 7: with headache and vomiting Case eight: a guy with serious vomiting Case nine: a guy stumbled on semi-conscious Case 10: younger lady with aspirin overdose Case eleven: Asthmatic male with cough Case 12: a guy with renal failure Case thirteen: youngster with colicky soreness Case 14: guy with diabetes mellitus Case 15: aged guy with dysuria Case 16. Read more...
summary: part 1: scientific chemistry Case 1: aged girl with historical past of vomiting Case 2: An aged guy with shortness of breath Case three: a lady with headache Case four: An aged guy with a cough Case five: a girl with stomach soreness Case 6: A depressed aged guy Case 7: with headache and vomiting Case eight: a guy with critical vomiting Case nine: a guy came across semi-conscious Case 10: younger lady with aspirin overdose Case eleven: Asthmatic male with cough Case 12: a guy with renal failure Case thirteen: teen with colicky discomfort Case 14: guy with diabetes mellitus Case 15: aged guy with dysuria Case sixteen
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Additional info for 100 Cases for Medical Data Interpretation
G. berylliosis. indb 33 13/05/13 8:42 PM 1 Clinical Chemistry Case 7: teenager with headache and vomiting History A 17-year-old female, a known insulin-dependent diabetic for nine years, presented in A&E with a headache and vomiting. She had been on antibiotics for the past few days for an ‘ear infection’. There was no evidence of neck stiffness, but tenderness behind her right ear. v. indb 34 13/05/13 8:42 PM Case 7: Teenager with headache and vomiting 35 Questions 1. What clinical symptoms and signs would you expect with this presentation and why?
2. What findings support the diagnosis of diabetic ketoacidosis in this case? 3. Describe the pattern of blood gases in this patient? 4. What conditions may cause the pattern of liver function tests found in this patient? 5. What are the possible explanations of his COHb level? 6. What are the possible causes of his elevated lactate? indb 45 13/05/13 8:42 PM 46 Section 1: Clinical Chemistry Answers 1. No, the blood gas pattern does not support the diagnosis of diabetic ketoacidosis (DKA). In DKA, the bicarbonate would be low and the PaCO2 reduced as part of the compensatory mechanism.
Renal tubular acidosis (types I and II) d. Impaired proximal renal tubular reabsorption i. Fanconi syndrome ii. Hypomagnesaemia Non-renal causes may be divided into: a. Redistribution, for example, i. Glucose and insulin ii. Catecholamines iii. Familial hypokalaemic periodic paralysis b. Intestinal loss, for example, i. Prolonged vomiting ii. Diarrhoea/small bowel fistula loss iii. Purgative abuse In alkalosis and pyloric stenosis, both renal and non-renal factors are involved in hypokalaemia. 3.
100 Cases for Medical Data Interpretation by David Howlett, Nicola Gainsborough