Why Don’t We Do It In Our Sleeve?

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Presentation transcript:

Why Don’t We Do It In Our Sleeve? https://www.youtube.com/watch?v=CtnEwvUWDo0 https://www.youtube.com/watch?v=3vw0hIs2LEg

PBL #1 Session 2 PD III Summer 2016 May 31, 2016 Michael Funk, PA-C, MPH, DFAAPA

Let’s discuss your interview skills Let’s discuss PE Should you or shouldn’t you?

Lab results ABG – not an office procedure CBC: Hematocrit % 38 (36-44) Hemoglobin g/L 12.3 ( 12.1 – 15.1) MCH pg/cell 29 (27-31) MCHC g/dL 34 (32-36 MCV fL 90 (80-100) MPV fL 8 (6-10) Plt K/uL 300 (150-400) RBC million/mm3 4.9 (4.2-5.4) RDW % 13.5 (11.5-14.5) WBC K/uL 5 (4.5-10.5)

Lab Results CK-MB% 0 (<6) Troponin I ng/mL <0.1 (<0.4) Troponin T ng/mL 0 (>0.1) LDH units/L 175 (100-300) CPK ng/mL 75 (35-165) B12 ng/mL 300 (200-900) Folate ng/mL 5 (2.7-17) ESR mm/hr 8 (<25)

Lab Results CMP Albumin g/dL 4.2 (3.4-5.4) Alk phos units/l 92 (44-147) ALT units/L 20 (<40) Anion gap mEq/L 10 (8-16) AST units/L 20 (<40) Bilirubin, tot mg/dL 0.6 (<1.9) BUN mg/dL 12 (7-20) Ca mg/dL 9.2 (8.5-10.2) CO2 mEq/L 23.9 (20-29) Cl mEq/L 102 (96-106) Cr mg/Dl 0.8 (0.8-1.4) Glu mg/dL 98 (74-106) K+ mEq/L 4.0 (3.5-5.2) Prot tot g/dL 7.1 (6.0-8.3) Na mEq/L 139 135-145

Lab Results Thyroid Panel T3 tot ng/dL 100 (100-200) T3 uptake % 24 (24-37) T4 free mcg/dL 0.9 (0.9-2.4) T4 tot mcg/dL 4.5 (4.5-11.2) TSH microunits/mL 4.0 (0.4-4)

Lab Results HIV

Imaging No enhancing lesions, areas of infarction or hemorrhage. Impression - Normal