| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
This
is a lot to deal with, let's regroup.
-
His chest
film is consistent with CHF.
-
His EKG
is compatible with ischemia.
-
His renal
function is indicative of failure.
-
The CT
of his kidneys shows bilateral hydronephrosis.
-
The history
of taking so much aspirin for his musculoskeletal pain might explain his
positive stool for occult blood.
-
Marked
elevated PSA.
Diagnostic
possibilities:
-
Advanced
coronary heart disease with CHF.
-
Renal
failure secondary to lower urinary tract obstruction.
-
Prostatic
carcinoma, possibly metastatic.
-
Normocytic
anemia, probably secondary to renal failure (decreased erythropoietin),
perhaps made worse by GI blood loss secondary to aspirin use.
What
to do?
Back |
|