A 19 year old female presents to the emergency room with hyp…
A 19 year old female presents to the emergency room with hypotension and syncopal episode. She is 5’6″ and 44 kg. Her blood pressure is 76/43. She is lethargic but arousable. She is afebrile, and malnourished appearing. You have a clinical suspicion for an eating disorder. Which assessment finding would you suspect if the patient had Bulimia Nervosa?
Read DetailsA 24-year-old female with a history of severe anorexia nervo…
A 24-year-old female with a history of severe anorexia nervosa is admitted to the medical floor following a fainting episode. Physical examination reveals a body mass index (BMI) of 14.2 kg/m², bradycardia, and dry mucous membranes. Initial laboratory results reveal: Arterial Blood Gas (ABG): pH 7.31, PaCO₂ 32 mmHg, HCO₃⁻ 16 mEq/L Serum Electrolytes: Na⁺ 138 mEq/L, Cl⁻ 102 mEq/L, K⁺ 3.4 mEq/L Anion Gap: 20 mEq/L (Elevated) Serum Glucose: 58 mg/dL Serum Ketones: Strongly positive Which of the following physiological mechanisms best explains the primary driver of this patient’s acid-base imbalance?
Read DetailsYou are caring for a 78 year-old male that presents to you w…
You are caring for a 78 year-old male that presents to you with diarrhea and you suspect malabsorption. His stool pathogen testing (O&P, EIA, Giardia/Cryptosporidium Ag) has been negative. What intervention should be consider next?
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