Don’t Sweat The Small Stuff

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Don’t Sweat The Small Stuff - Page #3

Lab Studies: Emergency Department Results (post-2L IV fluids): CK: 1033 U/L Sodium: 141 mmol/L Potassium: 4.4 mmol/L BUN: 21 mg/dL, Creatinine: 0.94 mg/dL Myoglobin: 162 ng/mL Glucose: 72 mg/dL Urinalysis: Trace protein, 1+ ketones Other electrolytes, hematology, and liver function studies were within normal limits. Electrolyte Testing (Korey Stringer Institute): Sweat Rate: 3.7 L/hour Sodium Loss: 5.6 g/hour (normal range: 0.18–1.2 g/hour) Potassium Loss: 1.24 g/hour Body temperature remained below 38.6 degrees Celsius during testing, with an average heart rate of 161 bpm (82% of predicted max). Fluid intake during the test was insufficient, resulting in a 2.5% loss of body mass. Genetic Testing: MATR3 gene: c.2128G>A (p.Ala710Thr), heterozygous variant of uncertain significance Additional testing for neuromuscular diseases was non-diagnostic. Other Studies: Electromyography (EMG): Non-diagnostic for upper and lower extremities. Consultations: 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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