Case 2-10

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Calhoun Community College *

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4

Subject

Medicine

Date

May 24, 2024

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pdf

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3

Uploaded by jaleasej

Daniel R., a 47-year-old male, went to his physician for an “annual” physical that had been postponed for over 3 years. He had started his own business 4 years ago and had been extremely busy getting it established. Daniel’s medical history indicated he was a nonsmoker, and his father and grandfather had histories of myocardial infarction before age 55. Since the physician had not seen this patient in a number of years, she decided to order routine screening tests. SERUM Patient Test Requisition/Reporting Patient Name: Daniel R. ID 459836 Collection Date/Time_1/26/2021 Dr. Murphy CHEMISTRY/IMMUNOLOGY TEST REFERENCE Patient Interval, SERUM RESULT Na 135-145 mEq/L 143 K 3.5-5.0 mEq/L 4.6 Cl 98-106 mEq/L 104 CO: 24.0-34.0 mEq/L 29.0 BILIRUBIN, 0.2-1.2 mg/dL 0.5 TOTAL CHOLESTEROL | <200 mg/dl 305 GLUCOSE 70-100 mg/dl 95 BUN 6-20 mg/dl 19 CREATININE 0.7-1.4 mg/dl 1.0 Total Protein 6.0-8.3 g/dl 7.5 AST <35 IU/L 35 ALP 30-157 IU/L 70 ALBUMIN 3.5-5.0 g/dL 4.6 CALCIUM 8.5-10.5 mg/dL 8.5 Case modified from Case Studies in Clinical Laboratory Science by Linda Graves
URINALYSIS TEST REFERENCE Patient Interval RESULT PHYSICAL -COLOR Straw-Dark Yellow | Yellow - APPEARANCE Clear Clear -SG 1.005-1.030 1.014 (refractometer) CHEMICAL -GLUCOSE NEGATIVE NEG -BILIRUBIN NEGATIVE NEG -KETONES NEGATIVE NEG -BLOOD NEGATIVE NEG -pH 5.0-8.0 6.0 -PROTEIN NEG-TRACE NEG -UROBILINOGEN | 0.1-1.0 mg/dl NEG -NITRITE NEGATIVE NEG -LEUKOCYTE NEGATIVE NEG ESTERASE Questions 1. Circle or highlight the abnormal result(s). 2. Circle or highlight the patient symptoms that are abnormal/significant. 3. List at least eight secondary conditions/disorders associated with the abnormal result(s) in question 1.
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