Microbiology With Diseases By Taxonomy (6th Edition)
6th Edition
ISBN: 9780134832302
Author: Robert W. Bauman Ph.D.
Publisher: PEARSON
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Mr. Steve is 25 years old, caucasian, and physically fit. He wanted to travel alone before pursuing his career since he just graduated from college. His first destination is the Banaue Rice Terraces. He arrived in Ifugao with much hospitality from the locals. He was invited to attend a traditional Cordilleran wedding. Since he like foreign and exotic dishes, he tried the local soup dish pinikpikan with etag. Later on he was offered a "local" delicacy to pair with the rice wine tapuy. He was enjoying the taste of the "local" delicacy and was asking for the recipe but the locals just laughed and told him that it is a secret. The next day, he went on his hiking to the rice terraces and was amazed by the view. The local guide asked him if he would like to visit Tappiya Falls before going back to his accommodation which he gladly agreed on. Since it is his first time going to the place, he already drank all of his water. The local guide pointed a clear shallow portion of a stream to fill…
Ella is an attorney who has worked in private practice for 25 years. She estimates she works 70 hours/week between the office and the courtroom. She has attributed her persistent fatigue to her schedule, poor diet (“I usually eat on the run, whatever is available”) and alcohol consumption (“I drink a bottle of wine a couple nights a week, and maybe more at the weekend especially if there are lots of dinners with clients”). Her fatigue has recently worsened and she has been feeling nauseous and light-headed consistently over the last several days.
Parameter
Result
Normal
Glucose
87
70-99 mg/dL
BUN
12
7-22 mg/dL
Creatinine
0.71
0.5-1.2 mg/dL
Na
141
135-145 mmol/L
K
4.9
3.5-5.3 mmol/L
Cl
103
98-109 mmol/L
CO2
24
22-26 mmol/L
Calcium
9.2
8.6-10.2 mg/dL
Phosphorus
2.7
2.6-4.9 mg/dL
Albumin
3.0
3.2-4.6 g/dL
Bilirubin
2.2
0.2-1.2 mg/dL
Lactate dehydrogenase (LDH)
190
99-191 IU/L…
Ella is an attorney who has worked in private practice for 25 years. She estimates she works 70 hours/week between the office and the courtroom. She has attributed her persistent fatigue to her schedule, poor diet (“I usually eat on the run, whatever is available”) and alcohol consumption (“I drink a bottle of wine a couple nights a week, and maybe more at the weekend especially if there are lots of dinners with clients”). Her fatigue has recently worsened and she has been feeling nauseous and light-headed consistently over the last several days.
How do you interpret the increases in ALT, AST and LDH and what is the most likely cause of this?
Lactate dehydrogenase (LDH)
190
99-191 IU/L
Aspartate amino-transferase (AST)
260
12-45 IU/L
Alanine aminotransferase (ALT)
76
<34 IU/L
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