Sponsored Links
Results 1 to 4 of 4
  1. #1
    ether is offline Newbie 510 points
    Join Date
    Apr 2007
    Posts
    8
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    Analyze this patient!

    Advertisements



    82 yo male presents with chest pain. pH 7.2, HCO3 20 paCO2 20 paO2 90. His weight is 70 Kg and height 172cm.
    What do you think is the possible differential diagnosis?

  2. #2
    ether is offline Newbie 510 points
    Join Date
    Apr 2007
    Posts
    8
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    And the analysis:

    For more information ******.com (free)

    Calculations by M.I.N.D.
    -------------------------------
    Primary acid base disturbance: Metabolic acidosis -
    Secondary dusturbance : Respiratory alkalosis
    BMI: 23.6614386 -- Body Mass Index is normal.
    A-a gradient: 34.73 Abnormal: A-a grad. for a normal 82 yo patient on 21% O2 is: 24.5
    TBW: 42 L Basal Energy Exp: 1479.27 kcal/d Body Surface Area: 1.8251187 sq. meters
    Calculated Sat 02: 0.96944771%
    -------------------------------
    Snap differential
    -------------------------------
    1. Metabolic acidosis - , , , , Detected, MIND score: 5
    2. Respiratory alkalosis - , , , , Detected, MIND score: 5
    3. Pulmonary embolism: - R. Alk., , R/O Pulm. embolism: Abnormal A-a grad., R. Alk., MIND score: 4
    4. Diarrhea: - Met. Acid., MIND score: 1
    5. RTA I: - Met. Acid., MIND score: 1
    6. RTA II.: - Met. Acid., MIND score: 1
    7. Fanconi: - Met. Acid., MIND score: 1
    8. Addison's disease: - Met. Acid., MIND score: 1
    9. K sparing diuretics: - Met. Acid., MIND score: 1
    10. RTA IV: - Met. Acid., MIND score: 1
    11. Hyperalimentation: - Met. Acid., MIND score: 1
    12. Salicilate poisoning: - R. Alk., MIND score: 1
    13. Acetazolamide abuse: - Met. Acid., MIND score: 1
    14. Sepsis: - R. Alk., MIND score: 1
    16. CNS lesion: - R. Alk., MIND score: 1
    17. Anxiety: - R. Alk., MIND score: 1
    18. Pain disorder: - R. Alk., MIND score: 1

  3. #3
    student-2's Avatar
    student-2 is offline Senior Member 510 points
    Join Date
    Oct 2005
    Posts
    552
    Downloads
    6
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    What is M.I.N.D.?

  4. #4
    ezzsakr is offline Newbie 510 points
    Join Date
    Dec 2007
    Location
    Jeddah
    Posts
    1
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    Spironolactone overdose

    Spironolactone overdose can lead to metabolic acidosis; secondary respiratory alkalosis may result in chest pain.

Similar Threads

  1. $40 to be a 'patient' for a day - NYC
    By MMMMM in forum USMLE Step 2 CS Exam Experiences
    Replies: 2
    Last Post: 08-23-2011, 01:54 AM
  2. Help analyze SGU residency vs typical US MD residency
    By Phospholipid in forum St. Georges University School of Medicine
    Replies: 20
    Last Post: 02-06-2010, 04:43 PM
  3. 28 yo patient
    By jameskim in forum USMLE Step 2 CK Forum
    Replies: 0
    Last Post: 08-16-2009, 05:48 PM
  4. What do I need for Patient/Dr 4
    By IwatchKellyRipaOnMute in forum St Matthews Study Area
    Replies: 1
    Last Post: 08-19-2006, 09:14 PM
  5. Analyze me, please!
    By analyzer in forum Ross University School of Medicine
    Replies: 4
    Last Post: 07-18-2006, 12:05 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •