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  #1  
Old 03-02-2012
tyagee's Avatar
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Default which ix ? plz give expln

A 15-year-old boy has been immobilized in a double hip spica cast
for 6 weeks after having fractured his femur in a skiing accident. He has
become depressed and listless during the past few days and has complained
of nausea and constipation. He is found to have microscopic hematuria
and a blood pressure of 150/100 mm Hg. Which of the following is
the most appropriate course of action?
a. Request a psychiatric evaluation
b. Check blood pressure every 2 hours for 2 days
c. Collect urine for measurement of the calcium to creatinine ratio
d. Order a renal sonogram and intravenous pyelogram (IVP)
e. Measure 24-hour urinary protein
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  #2  
Old 03-02-2012
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b

it's high risk for fat emblism
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  #3  
Old 03-02-2012
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my ans is C. the increase in calcium level due to excessive bone resorption due to the long immobilazation can led to hypercalcemia which can cause constipation and renal stones which could led to hematuria and if the kidney cant handle the increase calcium load it can result to increase in creatinine level. that is my logical explanation.
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  #4  
Old 03-03-2012
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thats correct. its C.
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  #5  
Old 03-03-2012
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Quote:
Originally Posted by achistikbenny View Post
my ans is C. the increase in calcium level due to excessive bone resorption due to the long immobilazation can led to hypercalcemia which can cause constipation and renal stones which could led to hematuria and if the kidney cant handle the increase calcium load it can result to increase in creatinine level. that is my logical explanation.
why blood pressure is high?
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  #6  
Old 03-04-2012
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yea the HIGH BP and the Microscopic hematuria... i dont understand why they are present ?
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