By David Howlett, Nicola Gainsborough
Part 1: medical chemistry Case 1: aged lady with background of vomiting Case 2: An aged guy with shortness of breath Case three: a girl with headache Case four: An aged guy with a cough Case five: a lady with belly ache Case 6: A depressed aged guy Case 7: with headache and vomiting Case eight: a guy with serious vomiting Case nine: a guy came upon semi-conscious Case 10: younger lady with aspirin overdose Case eleven: Asthmatic male with cough Case 12: a guy with renal failure Case thirteen: youngster with colicky discomfort Case 14: guy with diabetes mellitus Case 15: aged guy with dysuria Case 16. Read more...
summary: part 1: scientific chemistry Case 1: aged girl with heritage of vomiting Case 2: An aged guy with shortness of breath Case three: a girl with headache Case four: An aged guy with a cough Case five: a lady with stomach discomfort Case 6: A depressed aged guy Case 7: with headache and vomiting Case eight: a guy with critical vomiting Case nine: a guy came across semi-conscious Case 10: younger lady with aspirin overdose Case eleven: Asthmatic male with cough Case 12: a guy with renal failure Case thirteen: teen with colicky soreness Case 14: guy with diabetes mellitus Case 15: aged guy with dysuria Case sixteen
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Extra resources for 100 Cases for Medical Data Interpretation
1 indicates the volumes of plasma, interstitial fluid and intracellular water. The combination of plasma and interstitial volumes gives the extracellular fluid volume and the intracellular and extracellular, the total body water volume. These figures are for a young 70-kg person. 1 Isotonic fluid loss is taken just from the 18 litres of extracellular fluid (namely, interstitial and intravascular spaces), whereas water loss is taken from the 42 litres of total body water. Hence the symptoms of shock are present only following a much greater fluid loss if this is hypotonic.
Questions 1. What might be causing his hypokalaemia? 2. What might be causing his raised alkaline phosphatase? 3. What is the significance of the monoclonal band and related findings? 4. What additional investigations may be undertaken concerning myeloma? 5. What is the most likely cause of his hypercalcaemia? 6. What medical conditions are associated with hypercalcaemia and through what mechanism? 7. What is the role of PTHrP in generating his hypercalcaemia? indb 21 13/05/13 8:42 PM 22 Section 1: Clinical Chemistry Answers 1.
In addition, as there is a competition between potassium and hydrogen ions in the process, there is an increased exchange of sodium with hydrogen ions. The hydrogen ion is generated by a process that also generates bicarbonate. The bicarbonate follows the sodium into the plasma with the net effect of elevating the serum bicarbonate concentration. 1). 1 2. The causes of hypokalaemia may be divided into those of direct renal origin and those which are non-renal. Renal causes of hypokalaemia may be divided into: a.
100 Cases for Medical Data Interpretation by David Howlett, Nicola Gainsborough