An Unusual Case Of Multiorgan Failure

------------------------------------------------- An Unusual Case of Multiorgan Failure Background A 70-year-old woman was recently enclothe in the hospital for a right hip fracture, weakness, and inveterate atrial fibrillation with a straightaway ventricular response. Two age after she was discharged to a long-term c ar facility, she is readmitted for urinary retention and recurrent tachycardia. In addition, she complains of generalized weakness and midplane 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 aesculapian 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 incarnate examination, the patient is in mourning secondary to her abdominal pain. She is hypotensive, with a short letter pressure of 73/45 mm Hg, and tachycardic, with a heart rate of clxxx bpm. No fever is quote (temperature, 98.9°F). Her oxygen saturation is 97% on 2 L per minute. Her head, neck, and pulmonary examinations are wholly normal.

The heart rate is rapid and periodically irregular, but no jugular venous dilation or peripheral edema is detected. She has abdominal wall go against 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 changeless chronic left hemiparesis is found. The counterweight of the physical examination is unremarkable. canvas: A complete prodigal cell count (CBC) and metabolic 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 indispensableness to get a climb essay, order it on our website: Ordercustompaper.com

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