Endocrinology Case 11

Expanded Case Evaluation
Assessment & Follow-up Plans

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A. Expanded Database - Diagnostic Test Results

1 Test / Procedure: Abdominal Radiography
          Results:

Homogenous appearance to abdomen. Mild hepatomegaly, uterus not enlarged, stomach distended with gas but in normal position.

Review indications & protocol in notes.

What is your assessment?

2 Test / Procedure: Abdominal Ultrasonography
          Results:

Liver: results suggest hepatic lipodosis. Pancreas appears normal. No evidence of peritoneal fluid. Uterus is slightly enlarged. Kidneys show changes in renal pelvis consistent with pyelonephritis.

Review indications & protocol in notes.

What is your assessment?

3 Test / Procedure: Serum Amylase and Lipase
          Results:

Amylase: 1200 U/L (388-1007) Lipase: 1800 (266-1769)

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What is your assessment?

4 Test / Procedure: Activated Clotting Time
          Results:

3.0 minutes (<2 minutes)

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What is your assessment?

5 Test / Procedure: Urine Culture
          Results:

E. coli is isolated with >100,000 organisms per ml.

Review indications & protocol in notes.

What is your assessment?

6 Test / Procedure: Thoracic Radiographs
          Results:

Normal

Review indications & protocol in notes.

What is your assessment?

B. Final Diagnosis

C. Therapeutic Plan

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