january 2015 critical care case of the month: who's your momma?
Clicks: 199
ID: 132685
2015
No abstract available. Article truncated at 150 words. History of Present Illness: A 39-year-old Hispanic woman was admitted complaining of shortness of breath and bilateral lower extremity edema. She was felt to be in acute hypoxic respiratory failure. Past Medical History: Systemic lupus erythematosus; Congestive heart failure with an ejection fraction of 40%; End-stage renal disease on dialysis secondary to lupus nephritis. Medications: Rituximab 550 mg once a week; Prednisone 40 mg daily; Plaquenil 200 mg twice a day. Physical Examination: The patient was tachypneic in obvious respiratory distress. She was afebrile. Crackles at the bases. Heart was tachycardic. There was 3+ bilateral pitting pretibial edema. Laboratory: CBC: Hemoglobin 7.8 g/dL, WBC 11 X 109 cells per liter, differential: neutrophils 98%, eosinophils 0%, lymphocytes 1%. Electrolytes: Potassium 5.8 mEq/L, sodium 143 mEq/L, creatinine 3.3 g/dL, BUN 98 mg/dL. Brain naturetic peptide: 4055 pg/ml. Imaging: Admission chest x-ray showed cardiomegaly and bilateral interstitial prominence suggestive of congestive heart failure ...
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| Authors | ;Hartmann C ;Al-Jashaami L ;Kuberski TT |
| Journal | journal of photochemistry and photobiology b: biology |
| Year | 2015 |
| DOI | 10.13175/swjpcc145-14 |
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