Internal Medicine

67 year old woman undergoing chemotherapy

Amrit Misra on May 27, 2013 - University of Michigan Medical School

You are a fourth year medical student assigned to take care of Mrs. Jones, a 67 year old old woman with a history of Non-hodgkin’s lymphoma who is undergoing chemotherapy.  Two days after starting treatment, you notice that her urine output has begun to decrease considerably.  Her BMP  and vital signs from the day are listed below (baseline creatinine 1.0):

Uric acid: 9.1

BMP
136
6.3
105
23
1.5
28
100

  • Temp  36 C
  • HR  90
  • BP  112/83
  • RR  16
  • O2  95% on Room Air

You are a fourth year medical student assigned to take care of Mrs. Jones, a 67 year old old woman with a history of Non-hodgkin’s lymphoma who is undergoing chemotherapy.  Two days after starting treatment, you notice that her urine output has begun to decrease considerably.  Her BMP  and vital signs from the day are listed below (baseline creatinine 1.0):

Uric acid: 9.1

BMP
136
6.3
105
23
1.5
28
100

  • Temp  36 C
  • HR  90
  • BP  112/83
  • RR  16
  • O2  95% on Room Air

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