PBL Sessions: Vascular Diseases 1


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Additional Laboratory Findings (Robert):

Urine culture: >100,000 Klebsiella pneumoniae, resistant to fluroquinolone, sensitive to TMP/SMX.

Lipid panel: Total serum cholesterol 237 mg/dL, HDL cholesterol 33 mg/dL, triglycerides 171 mg/dL.

Hgb A1C is 10.2%

Additional Laboratory Findings (Valerie):

Serum total protein 6.6 g/dL, albumin 4.8 g/dL, AST 33 U/L, ALT 28 U/L, alkaline phosphatase 111 U/L, total bilirubin 1.1 mg/dL, amylase 53 U/L.

Lipid panel: Total serum cholesterol 213 mg/dL, HDL cholesterol 26 mg/dL, triglycerides 145 mg/dL.

2 hour glucose tolerance test: baseline 120 mg/dL, 1 hour 236 mg/dL, 2 hours 189 mg/dL

Additional Radiologic Findings (Valerie):

Abdominal ultrasound: multiple gallstones present and gallbladder slightly enlarged.

Tasks

  • What diagnoses are confirmed by these findings?

  • What diagnoses are suggested by these findings?

  • What hypotheses can you suggest that might be causing their problems?

  • Explain your reasoning for the hypotheses you choose.

  • What learning issues are being identified?

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