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Download e-book for iPad: 100 Cases for Medical Data Interpretation by David Howlett, Nicola Gainsborough

By David Howlett, Nicola Gainsborough

ISBN-10: 1444149059

ISBN-13: 9781444149050

Part 1: medical chemistry Case 1: aged lady with heritage 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 belly ache Case 6: A depressed aged guy Case 7: with headache and vomiting Case eight: a guy with serious vomiting Case nine: a guy came across semi-conscious Case 10: younger girl with aspirin overdose Read more...

summary: part 1: medical chemistry Case 1: aged lady with heritage of vomiting Case 2: An aged guy with shortness of breath Case three: a lady with headache Case four: An aged guy with a cough Case five: a lady with belly ache 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: teen with colicky ache Case 14: guy with diabetes mellitus Case 15: aged guy with dysuria Case sixteen

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Note also the increased blood glucose. Salicylate poisoning uncouples oxidative phosphorylation which can cause hypoglycaemia. However, increased glucose-6-­ phosphatase activity and hepatic glycogenolysis can also cause hyperglycaemia if large amounts of salicylate are ingested. 4. g. g. g. g. g. heat exposure, hepatic failure 5. The anion gap may be calculated as (sodium concentration + potassium concentration) − (chloride concentration + bicarbonate concentration). The reference range is 10–20 mmol/L.

This is confirmed by immunofixation as the band consists of only one type of heavy chain (G in this case) and one type of light chain (lambda in this case). The presence of a band does not necessarily indicate the patient has myeloma. Bands of this nature from patients with no significant changes in the bone marrow are termed MGUS (monoclonal gammopathy of unknown significance). Patients with these types of monoclonal bands are monitored on a regular basis as about 1 per cent per annum will transform to become myeloma.

Indb 16 13/05/13 8:42 PM Case 3: Woman with headache 17 c. Decreased sodium/hydrogen ion exchanged, for example, i. Carbonic anhydrase inhibitors ii. Renal tubular acidosis (types I and II) d. Impaired proximal renal tubular reabsorption i. Fanconi syndrome ii. Hypomagnesaemia Non-renal causes may be divided into: a. Redistribution, for example, i. Glucose and insulin ii. Catecholamines iii. Familial hypokalaemic periodic paralysis b. Intestinal loss, for example, i. Prolonged vomiting ii. Diarrhoea/small bowel fistula loss iii.

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


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