An Unusual Case Of Multiorgan Failure

------------------------------------------------- An Unusual Case of Multiorgan Failure Background A 70-year-old woman was recently peg down in the hospital for a right hip fracture, weakness, and inveterate atrial fibrillation with a brisk ventricular response. Two geezerhood after she was discharged to a long-term cargon facility, she is readmitted for urinary retention and recurrent tachycardia. In addition, she complains of generalized weakness and midline lower abdominal pain. She denies either 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 health check 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 somatic examination, the patient is in grief secondary to her abdominal pain. She is hypotensive, with a race pressure of 73/45 mm Hg, and tachycardic, with a heart rate of one hundred eighty bpm. No fever is reboot (temperature, 98.9°F). Her oxygen saturation is 97% on 2 L per minute. Her head, neck, and pulmonary examinations are all(prenominal) normal.

The heart rate is quick and periodically irregular, but no jugular venous distention or peripheral oedema is detected. She has abdominal wall pound 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 residuum of the physical examination is unremarkable. canvas: A complete rip 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 requirement to get a liberal essay, order it on our website: Ordercustompaper.com

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