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DWIGHT HUDSON R. TICMANBSN 3-212/5/21Case ScenarioCarmelita Gomez, age 8, is brought to the Children’s Clinic by hermother because she is nauseated and has vomited three times in thepast 24 hours. Her urine has turned “tea colored”. Carmelita islethargic and she is complaining of diffuse abdominal pain. Ten daysago she had a sore throat and fever and stayed home from school fortwo days. She was not seen by a health care provider at that time.Upon questioning, Carmelita cannot remember needing to urinate inthe past 12 hours. On exam, Carmelita is irritable and listless. She hasslight periorbital edema. Carmelita has active bowel sounds with nopalpable abdominal masses, but she is tender in all four quadrants.Carmelita is given a presumptive diagnosis of poststreptococcalglomerulonephritis (PSGN), pending laboratory tests.Her laboratoryvalues are:Serum creatinine: 2.3 mg/dLBUN 26.1 mg/dLSerum sodium: 142 mEq/LPotassium 4.2mEqSpecific gravity 1.025Phosphorous: 6.3 mEq/dLCalcium: 7 mEq/dLUA: hematuria 4+, red cell castsAntistreptococcal antibody titre: 800UPOINTS TO PONDER:

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Term
Fall
Professor
NoProfessor
Tags
Blood urea nitrogen, periorbital edema, Carmelita Gomez

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