Swole With Pain

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Swole With Pain - Page #3

Lab Studies: CBC: WBC 14.9, Hgb 16.5, PLT 143 Lipase: 40 CMP: Na 138, K 3.7, CO2 20, AG 16, BUN 22, Cr 1.24, AST 58, ALT 32. GFR 68. Urine dip: negative for nitrite, leukocytes, and blood; there are 40 mg/dl of ketones. Lactate: 0.7 mmol/L Other Studies: Case Photo #1 and Case Photo #2 CT abdominal/pelvis with contrast: Enteritis. Possible Superior Mesenteric Vein (SMV) thrombosis. Case Photo #3 MRA abdomen: Thrombus in the SMV, main portal vein, and right and left portal veins with propagation since the previous CT exam. EKG: normal sinus rhythm, left ventricular hypertrophy Consultations: General Surgery, Intensive Care Unit Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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