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The patient is a 59 year
old male with a history of endstage ischemic cardiomyopathy due to atherosclerosis
and exacerbated by diabetes mellitus. The patient was on the list for cardiac
transplant when he developed markedly diminished urinary output with a rising
BUN and creatnine and a 10 lb weight gain. He was admitted on May 20, 2002
for heart failure exacerbation and was treated with diuretics.
.jpg) CXR showing heart failure
| Lab Name |
Result/Unit |
Ref. Interval |
| White Blood Cell Count |
4.1 K/uL |
3.20-10.6 |
| Hematocrit |
39.5 % |
34.3-45.2 |
| Platelets |
262 K/uL |
177-406 |
| |
|
|
| Na |
137 mmol/L |
136-144 |
| K |
4.8 mmol/L |
3.3-50 |
| Cl |
104 mmol/L |
98-107 |
| Carbon Dioxide |
23 mmol/L |
22-29 |
| Glucose |
107 mg/dL |
64-128 |
| Blood Urea Nitrogen |
64 mg/dL |
7-20 |
| Creatinine |
3.6 mg/dL |
0.7-1.1 |
1. What is pre-renal failure?
2. Why did this man gain 10 pounds?
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.JPG)
