isnt the MAP 70mmHg in low end of Normal range? does that still affect PCT?
Ill go with A.. since the cocci test is +
@redoce YES! ATN MC cz of acute RF in hospitals/doctor induced 40%. Pat here present with HypOtension 2ndry to vol depletion & sepsis -> risk RF. “Dx ATN” ↑ *urine Na ( typically greater than 40mEq/L) here is 50s & FE of urine Na (typically over 2%) both -> indicator of loss Na through loss of tubular func.
*Passage of Na -> disrupted with damage first place to hit is the PCT -> shedding brush border -> “granular casts”.
Hope than clear it for you.
@cardio69 thank you so much for the question and explanation. Concept feeded in brain now.
@sarah Not a check the ans.
@redceo Glad I could help.
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An infant who had complication in utero shown on arrow extramedullary hematopoieses on the slide & PE
http://i.imgur.com/mVqJ4Zm.png?1 The infant’s mother was not vaccinated against the virus when she was a child neither before her marriage. Vaccine would be relevant for the pat?
a)Vaccine consisting of a carbohydrate attached to a carrier protein
b)Vaccine adm on the same schedule as the mumps vaccine
c)Vaccine consisting of chemically inactivated whole virus
d)Vaccine adm on the same schedule as the polio vaccine
e)Vaccine consisting of subunits of the viral glycoprotein
BB rubella...cataracts a/w congenital rubella