Download 100 Cases for Medical Data Interpretation by David Howlett, Nicola Gainsborough PDF

By David Howlett, Nicola Gainsborough

Part 1: medical chemistry Case 1: aged lady with historical past 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 girl with belly soreness 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 girl with aspirin overdose Read more...

summary: part 1: medical 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 girl with stomach soreness Case 6: A depressed aged guy Case 7: with headache and vomiting Case eight: a guy with critical 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: teen with colicky ache 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

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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. Hypercalcaemia is associated with a mild metabolic alkalosis and hence a tendency to hypokalaemia. However, in this case, the possibility of cortisol excess associated with ectopic adrenocorticotropic hormone (ACTH) production may need to be considered.

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. Hypercalcaemia is associated with a mild metabolic alkalosis and hence a tendency to hypokalaemia. However, in this case, the possibility of cortisol excess associated with ectopic adrenocorticotropic hormone (ACTH) production may need to be considered.

Acute pancreatitis ii. Severe hypomagnesaemia iii. Rapid cell breakdown – tumour lysis syndrome, rhabdomyolysis iv. Hypercalciuric hypocalcaemia – autosomal dominant condition (rare) v. High calcitonin levels (rare) 4. Calprotectin is produced by neutrophils and elevated concentrations in faeces are associated with inflammation in the intestine. Faecal calprotectin is used as a marker for inflammatory bowel disease. In this patient, it was assessed to determine the possibility of inflammatory bowel disease and to differentiate this from the possibility of irritable bowel syndrome.

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