CLINICAL CHEMISTRY 3 CASE ANALYSIS ENDOCRINOLOGY TOXICOLOGY REVIEW QUESTIONS

IV. CASE ANALYSIS: (10 pts.)

A 32 YR. OLD FEMALE PATIENT COMPLAINED OF DIZZINESS, DYSPNEA AND NAUSEA. SHE HAD RED RASHES ALL OVER HER BODY, AND HER BREATH WAS FRUITY.

THE LAB RESULTS WERE:

:

•      FT3 - 30 ng/dL

•      FT4 - 2 ng/dL

•      TSH - normal

•      WCC – 5,100/ mm3

•      RCC – 5, 113, 100/ mm3

•      Total cholesterol – 1.87 mmol/L

•      Triglycerides – 1.3 mmol/L

•      Glucose = 3.8 mmol/L

•      Hemoglobin = 150 mg/dL

•      Hematocrit 52 vol%

QUESTIONS FOR CASE ANALYSIS: (10 pts.)

1. WHAT FURTHER TESTS WOULD YOU RECOMMEND? DEFEND YOUR ANSWER.

2. WHAT WOULD BE THE MOST LIKELY DIAGNOSIS? DEFEND YOUR ANSWER.

V. PROBLEM (5 PTS. EACH)

1. WHAT IS THE HALF OF A DRUG WITH AN ORIGINAL CONCENTRATION OF 500 mg/dL, AND IS REDUCED 50 mg/dL FOR EVERY 30 MINUTES.

2. SOLVE FOR THE HALF-LIFE OF PARACETAMOL WITH AN ORIGINAL CONCENTRATION OF 600 mg/dL, AND WHICH HAS BEEN REDUCED TO 400 mmol/L AFTER 120 MINUTES.

VI. TRANSCRIPTION: (1 pt.)

DAS

ET

TDM

D-9THC

NSAID

HL

NADH

EMIT

ELISA

ANS

FOR ANSWERS CLICK ON THIS LINK.