Why he had not peed in 2 days
To restate:
A 55-year-old man comes to the ER for RUQ abdominal pain for the past week, getting worse, and diarrhea (4-6 semi-formed stools daily. His vital signs show tachycardia, normal respiratory rate, and a normal BP. He has a positive Murphy’s sign, but otherwise his abdomen just appears distended.
Labs:
129
80
101
144
4.6
15
8.6
6.9
pH 7.27
pCO2 37
pO2 91
HCO3 17
========
When first presented with this story at morning report, these were my thoughts:
Mild hyponatremia, will not address at this time
Increased anion gap acidosis – 34 – must evaluate
Metabolic alkalosis – ask for...
Source: DB's Medical Rants - December 22, 2013 Category: Health Medicine and Bioethics Commentators Authors: rcentor Tags: Acid-Base & Lytes Attending Rounds Source Type: blogs
Doc, I have not peed in 2 days
A 55-year-old man comes to the ER for RUQ abdominal pain for the past week, getting worse, and diarrhea (4-6 semi-formed stools daily. His vital signs show tachycardia, normal respiratory rate, and a normal BP. He has a positive Murphy’s sign, but otherwise his abdomen just appears distended.
Labs:
129
80
101
144
4.6
15
8.6
6.9
pH 7.27
pCO2 37
pO2 91
HCO3 17
A Foley catheter gets 15 cc of urine. An ultrasound shows normal sized kidneys without hydronephrosis.
What diagnostic tests do you want to order? What is your best guess of his problems? (Source: DB's Medical Rants)
Source: DB's Medical Rants - December 19, 2013 Category: Health Medicine and Bioethics Commentators Authors: rcentor Tags: Acid-Base & Lytes Attending Rounds Source Type: blogs
The saga of my pancreas..feet..microbiome ..blood.. liver - part 1
Well, this just keeps going - on and on and on. I thought I would be able to write a post when it was all done. But clearly not. So below is part 1 of an ongoing tale about me - my microbiome - my pancreas - my feet - my liver - my blood - and more.
Medical Record from my being admitted to
the hospital in 1984.
This particular saga started - I guess - in 1984. That was when, at 15 years old, I came pretty close to dying before being diagnosed with type I diabetes.
My immune system had betrayed me by killing the beta cells in my pancreas. Thanks a lot immune system. Anyway - this is ...
Source: The Tree of Life - August 30, 2013 Category: Medical Scientists Authors: Jonathan Eisen Source Type: blogs
External Condom Catheters For Men Reviewed: Girth and Length Analysis!
Placement of a urinary bladder catheter comes with the territory for many hospitalized patients. Indwelling Foley catheters are often inserted through the urethra and into the bladder of men and women. An internal ballon is then expanded to prevent the catheter from falling out. These catheters have an appropriate role in the management of some hospitalized patients. Bladder outlet obstruction and urinary retention require internal bladder catheters to manage the problem. Sometimes the catheter is the cause of the problem. Here is an example of bilateral hydronephrosis from a Fol...
Source: The Happy Hospitalist - February 3, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
