Evidence Based Laboratory Medicine

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APRENDIZAJE BASADO EN UN CASO

A 45-year-old male with history of hepatitis C and now cirrhosis of the liver is brought to the emergency center by family members for acute mental status changes. The family reports that the patient has been very disoriented and confused over the last few days and has been nauseated and vomiting blood. The family first noticed disturbances in his sleep pattern followed by alterations in his personality and mood. On examination, he is disoriented with evidence of icteric sclera. His abdomen is distended with a fluid wave appreciated. He has asterixis and hyperreflexia on neurologic exam. His urine drug screen and ethyl alcohol (EtOH) screen are both negative. A blood ammonia level was noted to be elevated, and all other tests have been normal.
◆ What is the most likely cause of the patient’s symptoms?
◆ What is asterixis?
◆ What was the likely precipitating factor of the patient’s symptoms

RESPONDA LAS PREGUNTAS EMPLEANDO BIBLIOGRAFIA MEDICA PARA TAL EFECTO. MAXIMO 2 CUARTILLAS

BIENVENIDOS (NUEVA ROTACION)

INICIAMOS CURSO.
LES DOY LA BIENVENIDA A LOS ALUMNOS DEL MODULO DE MEDICINA INTERNA 2010
SE INTEGRA UNA NUEVA ROTACION EN EL MODULO DE GINECO OBSTETRICIA