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[Verified Answer]: Case #3 Phil C., a 76 year old admitted…

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Case #3 Phil C., a 76 year old admitted through the ER with difficulty breathing, coughing, and chest pain. See Table Chemistry Lab Results Results from 2/18/24 Results from 2/19/24 Ref Ranges Sodium 141 140 136-145 mmol/L Potassium 4.4 4.7 3.6-5.0 mmol/L Chloride 107 106 101-111 mEq/L CO2 27.0 30.0 24-34 mEq/L Anion Gap 5.0 5.0 10-20 mmol/L Glucose 95 112 80-120 mg/dL Bilirubim, Total 0.3 NT 0.2-1.2 mg/dL AST 10 NT 5-40 lu/L ALP 42 NT 30-157 lu/L Total protein 6.5 NT 6.0-8.4 g/dL BUN 53 49 7-24 mg/dL Creatinine 2.0 1.8 0.5-1.2 mg/dL Albumin 3.6 NT 3.5-5.0 g/dL Digoxin 1.06 0.82 0.00-2.00 ng/mL CK 100 NT 24-170 lu/L CK-MB 1.06 3.2 * Troponin 1 10.4=significantly elevated Abbreviation: NT=not tested Questions 1. What are Phil’s abnormal test results? 2. What is Phil’s BUN/creatinine ratio? 3. What is normal BUN/creatinine ratio? 4. What type of azotemia does this indicate? 5. What are some of the causes of this type of azotemia? 6. List the five conditions of this type of azotemia. 7. What is the most likely diagnosis in this case? 8. What is Digoxin? 9. Is it (Digoxin) associated with Phil’s condition?

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