Here are compared CXR images, the top two are from 45 days P | Figure 1
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Here are compared CXR images, the top two are from 45 days prior. The bottom two are current updated images and are a connection to a previous case. This patient reported having chest pain with SOB and right flank pain. With distended abdomen, no fever, however B/P was 174/112 W/ 95% O2. See the labs and images; what are your best impressions?
Labs:
- TROPONIN: 0 ng/ml
- D-DIMER, QUANTITATIVE: 0.19 mg/L FEU
- LIPASE: 175 U/L
- BUN POCT (I-STAT): 9 mg/dL
- CALCIUM IONIZED POCT (ISTAT): 1.06 mmol/L L
- CHLORIDE POCT (I-STAT): 103 mmol/L
- CREAT POCT (I-STAT): 0.6 mg/dL
- GLUCOSE POCT (I-STAT): 78 mg/dL
- POTASSIUM POCT (I-STAT): 3.5 mmol/L
- SODIUM POCT (I-STAT): 139 mmol/L
- TOTAL CO2 POCT (I-STAT): 23 mmol/L
- HEMATOCRIT: 45.2 %
- RED BLOOD CELL COUNT: 4.91 M/mm3
- HEMOGLOBIN: 16.1 g/dL H
- MEAN CELL VOLUME: 92.1 fL
- MEAN CELL HGB CONCENTRATION: 35.6 g/dL
- MEAN CELL HGB: 32.8 pg
- PLATELET COUNT: 290 K/mm3
- MEAN PLATELET VOLUME: 9.9 fL
- WHITE BLOOD CELL: 13.5 K/mm3 H
- BASOPHIL #: 0.1 K/mm3
- BASOPHIL %: 0.4 %
- EOSINOPHIL #: 0.1 K/mm3
- EOSINOPHIL %: 0.7 %
- IMMATURE GRANULES %: 0.2
- LYMPHOCYTE #: 3.5 K/mm3 H
- LYMPHOCYTE %: 26 %
- MONOCYTE #: 0.9 K/mm3
- MONOCYTE %: 6.8 %
- NEUTROPHIL #: 8.9 K/mm3 H
- NEUTROPHIL PERCENT: 65.9 %
- NRBC ABSOLUTE: 0 M/mm3
- NRBC PERCENT: 0 %
- RED CELL DISTR WIDTH COEFF VAR: 12.3 %
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