An Unusual Case Of Multiorgan Failure

------------------------------------------------- An Unusual Case of Multiorgan Failure Background A 70-year-old woman was recently set in the hospital for a adept hip fracture, weakness, and inveterate atrial fibrillation with a speedy ventricular response. Two days after she was discharged to a long-run care facility, she is readmitted for urinary retention and recurrent tachycardia. In addition, she complains of extrapolate weakness and midplane lower abdominal muscle pain. She denies any(prenominal) earlier history of urinary retention, as well as experiencing any fever, dysuria, hematuria, vomiting, trouble breathing, or chest pain in fellowship with this presentation. Her past medical and surgical history includes a touch with left hemiparesis, hypertension, atrial fibrillation, epilepsy, and hemiarthroplasty; she is nonambulatory utility(prenominal) to the stroke. Her medications include atorvastatin, enoxaparin, levetiracetam, metoprolol, omeprazole, and warfar in (7.5 mg daily). On somatic examination, the patient is in distress secondary to her abdominal pain. She is hypotensive, with a blood pressure of 73/45 mm Hg, and tachycardic, with a tenderiseness rate of 180 bpm. No fever is mention (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 rapid and periodically irregular, but no vena jugularis venous dilation or peripheral edema is detected. She has abdominal wall bruise from enoxaparin injections. The abdomen is firm and diffusely tender to palpation, without rebound or guarding, and hypoactive bowel sounds ar! e noted. On neurologic examination, an unvaried chronic left hemiparesis is found. The rest of the tangible examination is unremarkable. investigating: A complete blood booth count (CBC) and metabolic panel reveal leukocytosis (28.1 kU/L), anemia (hemoglobin 7.3 gm/dL, hematocrit 21.1 %), hyperkalemia (5.9 mmol/L), renal insufficiency (creatinine 1.6 mg/dL, blood carbamide nitrogen (BUN) 32...If you indispensability to get a full essay, coiffure it on our website: OrderCustomPaper.com

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