17 Year Old Athlete Drops To The Ground, Not For Pushups

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17 Year Old Athlete Drops To The Ground, Not For Pushups - Page #3

Lab Studies: ADMISSION LAB STUDIES: BUN/Cr: 20/2.18; Potassium: 5.1; LFTs: within normal limits; CBC: within normal limits; Lactate: 8.1; Urine: negative for ketones; Thyroid panel: negative; UDS: negative; pH 7.32, pCO2 33, pO2 269, HCO3 17.0; C Diff: negative; Occult blood: negative; CT head without contrast: no acute process; EEG: within normal limits; EKG: within normal limits; Echocardiogram: within normal limits FOLLOWING LAB STUDIES: First 18 hours: Platelets 61. BUN 22. ALT/AST/CK elevated to 10x upper limit of normal. D-Dimer 763. Fibrinogen 315. Uric acid 9.8. 18-42 hours: Platelets 38. 42-66 hours: Platelets 30. LFTS improved to 2x normal. Creatinine 1.4. Other Studies: CT head without contrast: no acute process EEG: within normal limits EKG: within normal limits Echocardiogram: within normal limits Consultations: Pediatric Hematology and Oncology Pediatric Neurology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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