Guaranteed Higher Grade!
Free Quote
A previously healthy 16-years-old girl was found unconscious late at night following a domestic argument. When examined on admission, she was hyperventilating, responded to painful stimuli, and had dilated pupil which responded to light. The rest of the physical examination was unremarkable. Her urine was negative for glucose and ketone and the rest of the laboratory analysis are in table one.
|
Test |
Results |
Reference range |
|
Plasma |
||
|
Na |
141 mmol/L |
132-144 |
|
K |
3.4 mmol/L |
3.2-4.8 |
|
Cl |
100 mmol/L |
98-108 |
|
HCO3 |
16 mmol/L |
23-33 |
|
Urea |
6.5 mmol/L |
3.0-8.0 |
|
Creatinine |
80 mmol/L |
60-120 |
|
Agap |
25 mEq/L |
6-16 |
|
Gluc |
5.5 mmol/L |
3.5-5.5 |
|
Osmo |
299 mmol/kg |
282-292 |
|
TP |
70 g/L |
63-80 |
|
Alb |
43 g/L |
32-50 |
|
ALT |
15 U/L |
<40 |
|
TBili |
12 μmol/L |
<20 |
|
Ca |
1.86 mmol/L |
2.15-2.55 |
|
PO4 |
0.9 mmol/L |
0.65-1.25 |
|
Blood |
||
|
pH |
7.45 |
7.35-7.45 |
|
PO2 |
112 |
80-110 |
|
PCO2 |
21 |
35-45 |
|
HCO3 |
15 |
23-33 |
1) Comment on the clinical picture and the laboratory results
2) Is there are any other laboratory investigations would you consider? Also, why?
3) What is the most likely diagnosis?
NTU Grading System in Singapore: A Complete Guide for Students
NTU in Singapore is considered to be one of the most popular educational institutions across the gl
Top 9 Private Universities in Singapore: Your Guide to Higher Education
If there is one thing Asian countries never compromise on, it is education. Particularly, Singapore
How to Format an Essay: MLA, APA, Chicago Styles
Many of you know how to write an essay. However, you guys struggle when it comes to formatting the
Extemporaneous Speech – Examples & Writing Guide
“According to most studies, people’s number one fear is public speaking. Number two is death. D
