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    V. Diagnostic Examination

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    Arlene Macatangay
    The diagnostic examination includes: 1) Abnormal arterial blood gas results indicating respiratory acidosis and decreased oxygen levels. 2) Low electrolyte levels of sodium, potassium, and calcium. 3) Elevated blood glucose level. 4) Right hand X-ray showing soft tissue swelling but intact bones. 5) Wound culture grew methicillin-resistant Staphylococcus aureus resistant to several antibiotics.

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    V. Diagnostic Examination

    Uploaded by

    Arlene Macatangay
    29 views3 pages
    The diagnostic examination includes: 1) Abnormal arterial blood gas results indicating respiratory acidosis and decreased oxygen levels. 2) Low electrolyte levels of sodium, potassium, and calcium. 3) Elevated blood glucose level. 4) Right hand X-ray showing soft tissue swelling but intact bones. 5) Wound culture grew methicillin-resistant Staphylococcus aureus resistant to several antibiotics.

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    The diagnostic examination includes: 1) Abnormal arterial blood gas results indicating respiratory acidosis and decreased oxygen levels. 2) Low electrolyte levels of sodium, potassium, and calcium. 3) Elevated blood glucose level. 4) Right hand X-ray showing soft tissue swelling but intact bones. 5) Wound culture grew methicillin-resistant Staphylococcus aureus resistant to several antibiotics.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    29 views3 pages

    V. Diagnostic Examination

    Uploaded by

    Arlene Macatangay
    The diagnostic examination includes: 1) Abnormal arterial blood gas results indicating respiratory acidosis and decreased oxygen levels. 2) Low electrolyte levels of sodium, potassium, and calcium. 3) Elevated blood glucose level. 4) Right hand X-ray showing soft tissue swelling but intact bones. 5) Wound culture grew methicillin-resistant Staphylococcus aureus resistant to several antibiotics.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 3

    V.

    DIAGNOSTIC EXAMINATION

    DATE: September 10, 2018

    A.ARTERIAL BLOOD GAS RESULT


    pH 7.30 7.35 – 7.45 Decrease
    PCO2 25 35-45 (mmHg) Decrease
    PO2 118 80-100
    BE -13.0 +-2
    HCO3 12.0 22-26 (mEq/L) Decrease
    Hct 23% Male 45-52% female
    35-47
    Hb 7.1 12-16(g/dl)
    FIO2 21% 21%-100%
    O2SAT 94% AGE RELATED
    RANGE/DIAGNOSIS

    B. ELECTROLYTES
    Sodium (Na) 133 mmol/L 135-145 Decrease
    Potassium (k) 3.3 mmol/L 3.5-5-5 Decrease
    Calcium (Ca) 0.79 mmol/L 1.10-1.40 Decrease

    C. CHEMISTRY
    Glup 4.3 mmol/L 4.1-5.9 Normal
    LDL 2.2 mmol/L 0.0-2.6 Normal
    C_ Chol 3.611 mmol/L 0.000-5.170 Normal
    C_ HDL 0.68 mmol/L 0.77-1.83 Decrease
    Trigy 1.666 mmol/L 0.000-1.710 Normal
    Creatinine 1810.0 umol/L 58.0-110.0 Normal
    Phosporus 4.27 mmol/L -81-1.45
    BUN 58.5 mmol/L 2.8-7.2

    D. HEMATOLOGY
    TEST RESULT NORMAL VALUES IMPLICATION
    Hemoglobin 80 M 135-180 g/l
    (Hgb) F 120-160 g0/l
    Hematocrit 24 M 40-50 vol. %
    (Hct) F 37-47 vol. %
    RBC Count 2.65 4.5-5.9 x 10 12/L
    WBC Count 10.0 5-10 x 10 9/L
    Neutrophils 0.75 0.40-0.70
    Lymphocytes 0.17 0.20-0.40
    Monocytes 0.06 0.00-0.06 Normal
    Eosinophils 0.02 0.00-0.07
    Blood Typing O+
    Platelet Count 148 150-450 x 10 g/L Normal

    MCV 91.4 82.0-95.0 fl Normal


    MCH 30.1 27.0-31.0 pg
    MCHC 330 320-360 g/L
    RDC-CV 12.1 11.6-14.6%

    B. SEROLOGY
    METHOD RESULT REFERENCE RANGE IMPLICATION
    Cholesterol 4.58 mmol/L 3.64 – 5.20 Normal
    HDL Cholesterol 1.24 mmol/L 0.78 – 2.21 Normal
    LDL Cholesterol 2.78 mmol/L 2.60 – 4.10 Normal
    Triglyceride 1.22 mmol/L 0.33 – 1.65 Normal
    Glucose 14.40 mmol/L 3.85 - 5.78 High
    Creatinine 67.17 umol/L 53.04 - 97.24 Normal

    TEST NAME RESULT REFERENCE RANGE IMPLICATION


    Glycosylated Hemoglobin 12.1 % (109.2 mmol/mol) 4.0 – 5.7 (20.2 - 38.8) High
    (HbA1c)
    Troponin T
    Troponin I
    BNP

    TEST METHOD RESULT


    Hepatitis B Surface Antigen (HBsAg) Immunochromatography Non Reactive
    Rapid Plasma Reagin (RPR) Immunochromatography
    Dengue IgM/IgG Immunochromatography
    Dengue NSI Ag Immunochromatography
    S. Typhi IgM/IgG Immunochromatography
    Leptospirosis IgM/IgM Immunochromatography
    Anti-Streptolysin O Latex Aggulutination
    HIV 1 and 2 Particle Aggulutination
    Hepatitis C Virus Antibody ( HCV) Particle Aggulutination
    C. MEDICAL IMAGING REPORT

    Procedure: Right Hand APO


    Clinical Information: Infected Wound, Right Hand; T/C Diabetes Mellitus Type II
    Findings:
    There is soft tissue swelling involving the right hand.

    The visualized osseous structures appear intact.


    No lytic or sclerotic changes seen.

    D. MICROBIOLOGY REPORT

    Gram Stain
    Specimen: Wound Discharge
    Gram (+) Cocci: Rare/OIF Others: Epithelial Cells: few/ LPF
    Pus Cells: > 25/ LPF

    Aerobic Culture

    Specimen: Wound Discharge


    Culture Results: Moderate growth of Methicilin Resistant Staphylococcus aureus after 24 hours of
    incubation
    SUSCEPTIBILITY TEST REPORT
    ANTIBIOTICS S R I ANTIBIOTICS S R I
    Cefoxitin POSITIVE Clindamycin X
    Oxacillin X Erythromycin X
    Benzylpenicillin X Trimethoprin X
    Inducible Clindamycin NEGATIVE Limezolid X
    Resistant Vancomycin X

    Legend: R: Resistant S: Sensitive I: Intermediate

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