An Unusual Case Of Multiorgan Failure

------------------------------------------------- An Unusual Case of Multiorgan Failure Background A 70-year-old woman was recently stupefy in the hospital for a right hip fracture, weakness, and chronic everyy atrial fibrillation with a speedy ventricular response. Two old age after she was discharged to a long-term c are facility, she is readmitted for urinary retention and recurrent tachycardia. In addition, she complains of generalized weakness and midline lower abdominal pain. She denies any 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 checkup 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 physical examination, the patient is in discommode secondary to her abdominal pain. She is hypotensive, with a livestock pressure of 73/45 mm Hg, and tachycardic, with a heart rate of clxxx bpm. No fever is credit rating (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 quick and periodically irregular, but no jugular venous distention or peripheral dropsy is detected. She has abdominal wall scandalize 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 unvaried chronic left hemiparesis is found. The bide of the physical examination is unremarkable. examine: A complete seam cell count (CBC) and metabolic panel reveal leukocytosis (28.1 kU/L), genus 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 exigency to get a in effect(p) essay, order it on our website: Ordercustompaper.com

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