Challenge: What abnormality do you expect?
Image shown under Fair Use.
Monday, December 15, 2014
Theft
Challenge: What abnormality do you expect?
Image shown under Fair Use.
Subscribe to:
Post Comments (Atom)
skip to main |
skip to sidebar
A patient with CML presents with a WBC of 200,000. His vitals are stable. He is a little bit confused so you perform the maneuver shown above, then get a laboratory test. Unfortunately, your respiratory therapist forgets to put the sample on ice.
Challenge: What abnormality do you expect?
Image shown under Fair Use.
I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Challenge: What abnormality do you expect?
Image shown under Fair Use.
Blog Archive
Labels
- Announcements (48)
- Emergency Medicine (217)
- Family Medicine (261)
- Internal Medicine (407)
- Neurology and Psychiatry (199)
- Obstetrics and Gynecology (126)
- Other (22)
- Pediatrics (208)
- Surgery (195)
- USMLE "Classic Findings" (25)
Posts
Disclaimer
The content of this site is for educational purposes only. The author of the site does not provide any medical advice and information here should not be construed or used as such. Using this site does not create a physician-patient relationship and is not intended to replace the services of a licensed, trained physician or health professional. No health or medical related decision should be based in whole or in part on anything contained here. Any opinions expressed here are not necessarily those of the author nor do they reflect the opinions of any of the author's affiliations. Content on this site may be changed without notice and is not guaranteed to be complete, correct, or up-to-date. Any comments posted to the site can be edited, modified, or removed by the author of this site.
3 comments:
hello
this is the Allen-test. it was designed to show the perfusion of the palm by the arteria ulnaris and radialis. it is executed before any arterial puncture in any of those arteries.
CML increases the thrombophilia, and infarction risk. it is possible that one of the arteries named above was affected by the disease.
i expect the inflammation parameters and clotting parameters to be elevated.
ABG in CML without ice probably gets you artificially low pO2 due to increased metabolism from the leuks
yep! you guys are absolutely right
-
Theft
The image shows the Allen test which examines whether a patient has both radial and ulnar perfusion to the hand. The test is done before an arterial blood gas sampling to ensure collateral flow through the superficial palmar arch. ABGs should be put on ice and analyzed as soon as possible to reduce consumption by leukocytes. Leukocyte larceny can cause a factitiously low PaO2, especially if leukocytosis is profound.
Source: UpToDate.
Post a Comment