An Unusual Case Of Multiorgan Failure

------------------------------------------------- An Unusual Case of Multiorgan Failure Background A 70-year-old cleaning woman was recently set in the hospital for a responsibility hip fracture, weakness, and inveterate atrial fibrillation with a speedy ventricular response. Two days after she was discharged to a long care facility, she is readmitted for urinary retention and recurrent tachycardia. In addition, she complains of reason weakness and midplane lower ab pain. She denies every foregoing history of urinary retention, as well as experiencing any fever, dysuria, hematuria, vomiting, trouble breathing, or chest pain in tie beam with this presentation. Her past medical and surgical history includes a buffet with left hemiparesis, hypertension, atrial fibrillation, epilepsy, and hemiarthroplasty; she is nonambulatory unessential to the stroke. Her medications include atorvastatin, enoxaparin, levetiracetam, metoprolol, omeprazole, and warfarin (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 plaza 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 put up to palpation, without rebound or guarding, and hypoactive bowel sounds are noted. On neurologic examination, an u! nvaried chronic left hemiparesis is found. The rest of the somatogenetic examination is unremarkable. investigating: A complete blood jail cell 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 urea nitrogen (BUN) 32...If you indispensability to get a full essay, evidence it on our website: OrderCustomPaper.com

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