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septic arthritis, polycythemia, HTN, HLD, DM II, ESRD, ACE wrap, cool pad…
septic arthritis
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Physical exam: small scab on the inner right knee, palpable effusion, significant tenderness, significant pain with range of motion of the knee
labs: elevated WBC, ESR, CRP
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polycythemia
chronic liver disease
ascites, abdominal distention, enlarged/palpable liver; discomfort with abdominal palpation; mild plueral effusion; elevated serum D dimer; urine protein/RBC/WBC
liver infarction with unknown etiology; liver damage leads to multifocal splenic infarctions, hepatic hypertension leads to splenomegaly, ascites, and plural effusion
more labs to determine the cause of liver damage and polycythemia: lipid profile, thyroid stimulating hormones, erythropoietin, JAK2 V617F mutation detection, possible bone marrow biopsy
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continuous telemetry monitoring, hematology/oncology consult, nutritionist consult
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a type of blood cancer where the bone marrow makes excess red blood cells which thickens blood and slow blood flow
HTN, HLD, DM II
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blood glucose: 157, 275, 100, etc
ESRD
lab: chronically elevated BUN and creatinine, low estimated GFR, electrolyte imbalance
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ACE wrap, cool pad machine
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incision and drainage: turbid, bloody fluid
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Right side permacath, right arm AV fistula
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blood glucose test AC, BH, 0300; diabetic diet, insulin lantus and lispro
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atorvastatin, carvedilol, losartan, furosemide, amlodipine, ezetimibe, labetalol
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