Get Answer: Year Male Admitted Question Guide
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What This Question Is About
This question relates to year male admitted and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves year male admitted. A strong answer should include explanation, application, and examples.
Original Question
A 72 year-old male is admitted to the hospital with a 3-month history of progressive dyspnea, bilateral lower extremity edema and nonradiating pain in the right flank. He has gained 7 lbs. He was diagnosed with BPH 3 years ago. He has a 30-year history of HTN. Medications are lisinopril and terazosin. On exam, temperature is 97.8 degrees F, BP is 158/92 mmHg, pulse rate is 82 bpm and respiratory rate is 12/ min. BMI is 31. Jugular venous pressure is normal. Cardiopulmonary exam reveals decreased breath sounds at both lung bases. Abdominal and neurologic exams are normal. Labs- Hemoglobin 14.3 g/dL Fasting glucose 85 mg/dL Serum total cholesterol 320 mg/dL BUN 32 mg/dL Serum creatinine 2.1 mg/dL Urinalysis 3+ protein, occasional hyaline casts Urine protein/ creatinine ratio 8 mg/mg Serum and urine protein electrophoreses are normal. A CXR shows normal heart size and bilateral pleural effusions. On renal ultrasound, the right kidney is 13.5 m with increased echogenicity and no hydronephrosis and the left kidney is 12 cm. Doppler ultrasound shows possible right renal vein thrombosis. 1- What is the relevant objective and subjective assessment data from the case study? 2- What does this data indicate? What conclusions can you make? What is your preliminary diagnosis(es)? 3- What is the underlying pathophysiology that produce the clinical manifestations in this case study? You can use text, flowchart or outline to provide a detailed discussion. 4- Based on the pathophysiology, what clinical course and complications could you anticipate 5- What patient education and follow up is required for the case study patient?
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