PBL Sessions: Vascular Diseases 2


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Page 3

History of Present Illness:

A CBC shows WBC count 6820/microliter with differential count of 63 segs, 4 bands, 20 lymphs, 11 monos, and 2 eos, Hgb 13.6 g/dL, Hct 40.8%, MCV 92 fL, and platelet count 212,000/microliter. Serum chemistries show sodium 141 mmol/L, potassium 4.6 mmol/L, chloride 103 mmol/L, CO2 26 mmol/L, creatinine 1.1 mg/dL, and glucose 124 mg/dL. His total CK is 201 U/L with CK-MB fraction of <1%. His troponin I level is 6 ng/mL. A chest radiograph reveals an area of increased density at the right lung base.

Further past history reveals that his father died of a myocardial infarction at age 49. His mother is alive, but suffered a "stroke" at age 52.

Tasks

  • What do these findings indicate?

  • What hypotheses explain these findings?

  • Explain your reasoning for the hypotheses you choose.

  • What learning issues are being identified?

  • What additional information might you request?

Stop !! Complete discussions and tasks before moving to the next page.