An Unusual Case Of Multiorgan Failure

------------------------------------------------- An Unusual Case of Multiorgan Failure Background A 70-year-old woman was recently effect in the hospital for a right hip fracture, weakness, and chronic ally atrial fibrillation with a swift ventricular response. Two eld after she was discharged to a long-term c atomic number 18 facility, she is readmitted for urinary retention and recurrent tachycardia. In addition, she complains of generalized weakness and midline lower abdominal pain. She denies whatsoever prior history of urinary retention, as well as experiencing any fever, dysuria, hematuria, vomiting, trouble breathing, or chest pain in association with this presentation. Her past medical examination and surgical history includes a stroke with left hemiparesis, hypertension, atrial fibrillation, epilepsy, and hemiarthroplasty; she is nonambulatory secondary to the stroke. Her medications include atorvastatin, enoxaparin, levetiracetam, metoprolol, omeprazole, and warfarin (7.5 mg daily). On bodied examination, the patient is in detriment secondary to her abdominal pain. She is hypotensive, with a fall pressure of 73/45 mm Hg, and tachycardic, with a heart rate of one hundred eighty bpm. No fever is distinguish (temperature, 98.9°F). Her oxygen saturation is 97% on 2 L per minute. Her head, neck, and pulmonary examinations are all normal.

The heart rate is speedy and periodically irregular, but no jugular venous dilation or peripheral hydrops is detected. She has abdominal wall spank from enoxaparin injections. The abdomen is firm and diffusely tender to palpation, without rebound or guarding, and hypoactive bowel sounds are noted. On neurologic examination, an invariant chronic left hemiparesis is found. The simpleness of the physical examination is unremarkable. look into: A complete riptide cell count (CBC) and metabolous panel reveal leukocytosis (28.1 kU/L), anaemia (hemoglobin 7.3 gm/dL, hematocrit 21.1 %), hyperkalemia (5.9 mmol/L), renal insufficiency (creatinine 1.6 mg/dL, blood urea nitrogen (BUN) 32...If you exigency to get a across-the-board essay, order it on our website: Orderessay

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