43 years old female patient, her longstanding history of diabetes and hypertensi
ID: 126084 • Letter: 4
Question
43 years old female patient, her longstanding history of diabetes and hypertension and present with some of condition of pruritis, lethargy, lower extremity edema, nausea and emesis.. Blood pressure 178/109, pulse 79, respirations 23 and she had afebrile, and Body weight 75.4 kg. Her Doctor orders basic metabolic panel with complete blood count to get more understanding about her complication.
What is the diagnosis for the patient described and a description of the appropriate treatment protocol for that clinical condition
Chemistry
Patient value
Reference ranges
Sodium
130
136-144 mmol/L
Potassium
6.3
3.7-5.2 mmol/L
Chloride
102
101 -111 mmol/L
Total CO2
13
20-29 mmol/L
BUN
150
7-20 mg/dl
Creatinine
15.0
0.8 - 1.4 mg/dl
Glucose
108
64-128 mg/dl
Calcium
6.2
8.9-10.3 mg/dl
Phosphorus
10.3
2.6-6.4 mg/dl
Alkaline Phosphatase
303
30-110 IU/L
Parathyroid Hormone
884
10-65 pg/ml
Hemoglobin
8.5
14-17 gm/dl
MCV
80
80-100fL
Hematocrit
27.3
40-54%
Chemistry
Patient value
Reference ranges
Sodium
130
136-144 mmol/L
Potassium
6.3
3.7-5.2 mmol/L
Chloride
102
101 -111 mmol/L
Total CO2
13
20-29 mmol/L
BUN
150
7-20 mg/dl
Creatinine
15.0
0.8 - 1.4 mg/dl
Glucose
108
64-128 mg/dl
Calcium
6.2
8.9-10.3 mg/dl
Phosphorus
10.3
2.6-6.4 mg/dl
Alkaline Phosphatase
303
30-110 IU/L
Parathyroid Hormone
884
10-65 pg/ml
Hemoglobin
8.5
14-17 gm/dl
MCV
80
80-100fL
Hematocrit
27.3
40-54%
Explanation / Answer
Medical diagnosis:
-Hyperparathyroidism causing hyperphosphatemia and hypocalcemia and high ALP levels.
- ? Acute on chronic Renal failure causing hyperkalemia
-Anaemia secondary to chronic kidney disease
Appropriate treatment would be hemodialysis of this patient and find the cause of hyperparathyroidism and do the management accordingly.
The commonest cause is parathyroid adenoma which is a benign condition and can be corrected with excision surgery.
Related Questions
drjack9650@gmail.com
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.