David Howlett, Nicola Gainsborough's 100 Cases for Medical Data Interpretation PDF

By David Howlett, Nicola Gainsborough

ISBN-10: 1444149059

ISBN-13: 9781444149050

Part 1: scientific 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 discomfort Case 6: A depressed aged guy Case 7: with headache and vomiting Case eight: a guy with critical vomiting Case nine: a guy stumbled on semi-conscious Case 10: younger girl with aspirin overdose Read more...

summary: 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 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 discovered 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 soreness Case 14: guy with diabetes mellitus Case 15: aged guy with dysuria Case sixteen

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2. Anion gap: Normal: [Na + K] − [Cl + HCO3] = 19 This case: [138 + 4] – [100 + 12] = 30 The anion gap is the balance between the major cations and anions. The d ­ ifference is explained by the presence of ions such as sulphate, phosphate and charged ­proteins, such as albumin. A high anion gap indicates the presence of anions not normally present in significant quantities. 3. 22] 4. Using saline, rather than Hartman’s, as the initial fluid replacement is reasonable in view of the history of vomiting.

2. Explain the findings related to calcium metabolism. 3. What conditions are associated with hypocalcaemia? 4. Why was the faecal calprotectin measured? What are the causes of an elevated concentration? 5. Why did the laboratory measure CRP when a ferritin was requested? 6. Why do you think the IgA tissue transglutaminase test was only borderline high? 7. Taking the clinical sensitivity and specificity of IgA tissue transglutaminase antibody testing in adults as 93 and 96 per cent, respectively, calculate the likelihood ratios of a positive test and a negative test.

Therefore, if the CRP is raised, it can be anticipated that the ferritin level will be higher than when the CRP is normal. Hence, in inflammatory conditions leading to an elevated CRP, iron deficiency cannot be excluded even if the ferritin level is up to 100 μg/L. indb 26 13/05/13 8:42 PM Case 5: Woman with abdominal pain 27 6. The clinical and biochemical information points to a diagnosis of coeliac disease. However, the antibody levels will only be positive if the patient is taking gluten as a regular part of their diet.

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


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