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TMC Operating Room Prof. Acena

HYPOTHETICAL CASE STUDY FOR ACUTE BIOLOGIC CRISIS

Patients Name: AGB

Age: 71 y/oStatus: Widow, with 3 childen !eldest "# y/o$ %nd& "%$ youngest 37 y/o'

(ccu)ation: (wne, gament com)any

*ousehold income/month less deductions: %"+,+++/monthAddess: 1- San .oauin St, 0oest *ills, aytay 2ial

4ate o5 Admission: 6esteday at 3:3+)m

ASSESSMENT UPON ADMISSION:

Past Health History:

n5ectious 4iseases: 8sual childhood illnesses e9)eienced No histoy o5 heumatic 5e;emmuniations: 0lu ;accine yealy c/o Senio outh:

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TMC Operating Room Prof. Acena

NecC: =ugula ;enous )essue -cm, thyoid not )al)a?le No massesNodes: No adeno)athy

3. Chest:Beasts: ato)hic and symmetic, nontende, no masses o dischagesLungs: ?i?asila ales No dullness to )ecussion 4ia)hagm mo;es well with es)iation No

honchi, wheees o u?s No histoy o5 )leuisy, cough, wheeing, asthma, hemo)tysis,

)ulmonay em?oli, )neumonia, B o B e9)osue

"Heart:P> at the th

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TMC Operating Room Prof. Acena

Personal Hisor!

1 AGB is a widow and li;es with his younge son

% (ccu)ation: *e used to woC a?oad as an account e9ecuti;e 5o 1# yeas and then stated his own

?usiness whee he woCed as a

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TMC Operating Room Prof. Acena

C"rren Bloo# Res"l:

Bloo#

C$e%isr!

Res"l Nor%al Ran&e

*4D 7% >: 3+&7+ g/dl$ 0: 3+&-# g/dl

D4D 1"+ -+&1"+ mg/dl

Co%'lee

Bloo# Co"n

Res"l Nor%al Ran&e

*g? 1%+ 1% &177 g/dl*ct 3- 37# K #1+ L

2B< ""% "1"& #-+ 9 1+3 / uD

>onocytes +- +1 &1+ 9 1+3 / uD

Dym)hocytes %3 +7 K "# 9 1+3 / uD

Baso)hils ++# ++ &+% 9 1+3 / uD

osino)hils ++1 ++ K +" 9 1+3 / uD

Neuto)hils "% 1- K 7- 9 1+3 / uD

Platelets %1- 1"+& "1# 9 1+3 / uD

WB< 1%" "+&1+# 9 1+3 / uD

Urinal!sis Res"l Nor%al Ran&e

)* # " K -+

S)eci5ic ga;ity 1++- 1++# K 1+3+

Potein 1&% None to - mg/ 1++ mlGlucose Negati;

e

Negati;e

2B< + +&%+

WB< many +&" )e low&)owe 5ield

: 3-&17" 8/D$

0:&1"+ 8/D

iglyceide 1 >: "+&1+ mg/dl$

0: 3#&13# mg/dl

8ic Acid 7+ >: 3#&7% mg/dl$

0: %&+ mg/dl

SG( %- +&"1 8/D

SGP #3 %+&7+ 8/D

0e 1% >: 7#&17# g/dl$0: #&1# g/dl

P %# &- g/dl

ADB 3 3-+ g/dl

GD(B 3" %3&3# g/dl

AD % 1&"+ 8/D

ADMP 1## %+&7+ 8/D

AS ##

GG 17 >: &% 8/D $ 0: "&1- 8/D

BD +# +%&1+ mg/dl

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TMC Operating Room Prof. Acena

O$er Dia&nosi(s:

1 ABG: )* 7"$ )

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TMC Operating Room Prof. Acena

GUIDE )UESTIONS:

1 0ollowing the 5omat gi;en to you, maCe a witten case )esentation

No need to include the Nomal Physical Assessment , 5ocus on a?nomal 5indings withanalysis

% Also, answe the 5ollowing uestions:

a What is the anatomy in;ol;ed in this illnessO? *ow ae the nomal 5unctioning o5 these anatomical )ats a55ectedO

c What ae the a?nomal ?lood tests esultsO

d What ae the im)lications in ha;ing these a?nomal ?lood and diagnostic esults in temso5 )atients ciculatoy 5unctioningO

e *ow can you e9)lain the changes in the clients ;ital signsO

5 >aCe a dug study o5 all the medications taCen ?y the )atient, taCe note o5 its e55ect on

the clients ciculatoy 5unctiong What will you ecommend to othes to )e;ent 5om ha;ing the same illnessO

3 Watch how