09-13-2007, 12:35 PM
Lab Findings
Na+ Cl- K+ HCO3- UrinepH Specific Grv
A. 132 89 2.8 39 5 1.025
B. 133 110 3.9 16 6 1.015
C. 163 117 4.3 22 5.5 1.003
D. 165 115 4.5 19 5 1.03
Q1).An 8 week old boy is brought to the physician by his mother because of persistent vomiting for 2 days. he has spit up intermittently since birth. He had had no diarrhea. He appears irritable .His temp is 38 C (100.4F) ,blood pressure is 90/60 mm Hg, pulse is 130/min and respirations are 255/min. Examination shows a sunken anterior fontanelle. Mucus membranes are dry .Teh lungs are clear to auscultaion .Heart sounds are normal. The abdomen is scaphoid and bowel sounds are active
Q2)A 7 week old boy is brought to the physician because of fever, irritability and lethargy for 3 days .He has had no vomiting, diarrhea or symptoms of an upper respiratory tract infection. He always seems hungry to his mother despite being fed 3 ounces of formula every 3 hours. His mother also notes that he has many wet diapers throughout the day and night. He currently appears irritable. His temp is 37.8 ( 100F) ,blood pressure is 80/50 mm Hg ,pulse is 150/min and respirations are 25/min. Examination shows a sunken anterior fontannelle. Mucus membranes are dry. There is tenting of the skin. Examination shows no other abnormalities. Urinalysis is negative for glucose and protein.
Na+ Cl- K+ HCO3- UrinepH Specific Grv
A. 132 89 2.8 39 5 1.025
B. 133 110 3.9 16 6 1.015
C. 163 117 4.3 22 5.5 1.003
D. 165 115 4.5 19 5 1.03
Q1).An 8 week old boy is brought to the physician by his mother because of persistent vomiting for 2 days. he has spit up intermittently since birth. He had had no diarrhea. He appears irritable .His temp is 38 C (100.4F) ,blood pressure is 90/60 mm Hg, pulse is 130/min and respirations are 255/min. Examination shows a sunken anterior fontanelle. Mucus membranes are dry .Teh lungs are clear to auscultaion .Heart sounds are normal. The abdomen is scaphoid and bowel sounds are active
Q2)A 7 week old boy is brought to the physician because of fever, irritability and lethargy for 3 days .He has had no vomiting, diarrhea or symptoms of an upper respiratory tract infection. He always seems hungry to his mother despite being fed 3 ounces of formula every 3 hours. His mother also notes that he has many wet diapers throughout the day and night. He currently appears irritable. His temp is 37.8 ( 100F) ,blood pressure is 80/50 mm Hg ,pulse is 150/min and respirations are 25/min. Examination shows a sunken anterior fontannelle. Mucus membranes are dry. There is tenting of the skin. Examination shows no other abnormalities. Urinalysis is negative for glucose and protein.