| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Things
have taken a turn for Mr. Conrad.
-
Two weeks ago he started treatment
with alkylating agents.
-
His M protein began to drop,
but so did his white count.
-
Two days ago he was admitted
through the ER with a high fever and cough.
-
He was placed on antibiotic
therapy for Streptococcal pneumonia.
-
Unfortunately no one was watching
his fluid intake closely and he became dehydrated.
-
Now his renal output has
dropped to practically nothing.
-
He has developed ARF secondary
to myeloma kidney.
-
Now because of his renal failure,
he's retaining fluid and appears to be in CHF along with his pneumonia.
Two
days later.
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