You are providing the parents of a late preterm infant antic…
You are providing the parents of a late preterm infant anticipatory guidance regarding jaundice. You know to tell them that their infant is at increased risk of developing hyperbilirubinemia secondary to and that the bilirubin will peak at days of life:
Read DetailsA 39 week infant presented after birth with clitoromegaly an…
A 39 week infant presented after birth with clitoromegaly and was admitted to the NICU. The infant became hypotensive at ~24 hours of life. A BMP shows Na 128, K of 6.4, and serum glucose of 60. The infant is being supported with IV fluids consisting of D10W base running at 60 mL/kg/day. Urine output is 2.9 mL/kg/hr. Weight is down 50 grams in the first 24 hours of life. The infant has also become hypotensive. What lab test is indicated for this infant?
Read DetailsA 46 year old male patient arrives in the ER with the follow…
A 46 year old male patient arrives in the ER with the following symptoms: Impaired mental status Anxiety Diaphoresis (sweating) Tremors Palpitations Tachycardia (rapid heart rate) Warm and moist skin The family member that is accompanying the patient states that the patient has also lost quite a bit of weight recently, without trying to do so. The family member does not live with patient, so is not a good historian, nor do they know the patient’s current med list. The ER physician orders lab testing and here are the significant results: Calcium level 11.1 mg/dL (Normal: 8.5 – 10.2 mg/dL) Glucose 198 mg/dL (Normal: 70 – 179 mg/dL NON-fasting) TSH: < 0.4 mIU/L (Normal: 0.5 - 5.0 mIU/L) test is reflexing to a free T4 level. Can you guess if the free T4 level will be low or high?
Read DetailsName this test: 1 – ideal tumor marker for thyroid cancer p…
Name this test: 1 – ideal tumor marker for thyroid cancer patients, 2 – synthesized and excreted exclusively by thyroid follicular cells, 3 – should lower and disappear eventually after removal or irradiation of the thyroid gland.
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