Case follow up
After 6 sessions of hemodialysis and supportive care, the patient started to urinate about 3-4 liters per day (which was consistent with polyuric phase of ATN). Exessive hydration was prescribed.
Three days after antibiotics administration, he became afebrile and WBC count started to rise.
At the time of discharge he was well oriented and alert.
Urine output was about 2 liters per day. His final lab tests:
Cr 1.1
Urea 67
K 3.8
P 4.4
Ca 9.4
Uric acid 5.4
WBC 5.6
Hb 9.9
Plt 215000
He was then discharged and referred to the hematology clinic.
End of case 27
Post #387
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Internal Medicine Cases Case number 27 A 38-year-old man -newly diagnosed as high grade B cell lymphoma - who received bendamustin as the chemotherapy agent 4 days ago came to the emergency ward with the complaint of severe diarrhea (10 times a day) and significant urine output…
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