This document describes the case of a 67-year-old male patient admitted through the emergency room for treatment of advanced alcoholic cirrhosis, diabetes, chronic kidney disease, and iron deficiency anemia. Laboratory tests showed abnormalities indicative of liver and kidney damage including elevated glucose, BUN, creatinine, lactic acid, ammonia, and abnormal electrolytes. The patient received three units of packed red blood cells during his hospital stay to treat anemia.
The Nancy N. Caron Annual Member Art Exhibit and Silent Auction 2011Frank Fortin
This document lists the names of 44 individuals along with their medical district or alliance affiliations. It includes doctors from districts across Massachusetts such as Worcester, Hampshire, Suffolk, Essex South, Middlesex, and Norfolk. It also lists some spouses and allies affiliated with certain districts.
Tiffany Sessions Missing person timeline-updated(2)Pat Sessions
Paul Rowles was born in 1948 in Gainesville, Florida. He was sentenced to life in prison in 1972 for the murder of Linda Fida in Miami. Over the following decades, Rowles was implicated in several other crimes in Gainesville, including kidnapping and sexually assaulting a minor in 1976, and was suspected in the disappearances of Elizabeth Foster in 1989 and Tiffany Sessions in 1992. DNA evidence later tied Rowles to the crime scenes of both Foster and Sessions. Rowles was paroled in 1989 but continued to be involved in criminal activities until his death in prison in 2013.
This document contains a survey with 14 questions regarding Malaysian architectural identity and culture. The questions ask the respondent for their opinions on whether Malaysia's future architectural identity depends on leadership, their views of buildings like Putrajaya and the Parliament building, whether cultural architecture can maintain its identity, and if political issues can affect architectural identity. The respondent is asked to answer "yes" or "no" to indicate their opinion on each question.
The document discusses principles and processes for user interface design for health information systems. It covers principles for layout, navigation design using menus and messages, input design using different input types and validation, and output design. The goal is to design interfaces that are usable, learnable, and support users' tasks through application of these principles and following a process of requirements analysis, prototyping, and evaluation.
La formación es un proceso de desarrollo personal que depende tanto del esfuerzo individual como del apoyo social. Incluye la educación popular, la formación profesional y la formación de adultos, y busca transmitir conocimientos para beneficiar a la sociedad y promover el cambio social. La formación se entiende como una institución con planes de estudio y normas, y comprende la formación académica, profesional y de formadores para que sean sujetos autónomos con dominio de diversas áreas de conocimiento.
The Nancy N. Caron Annual Member Art Exhibit and Silent Auction 2011Frank Fortin
This document lists the names of 44 individuals along with their medical district or alliance affiliations. It includes doctors from districts across Massachusetts such as Worcester, Hampshire, Suffolk, Essex South, Middlesex, and Norfolk. It also lists some spouses and allies affiliated with certain districts.
Tiffany Sessions Missing person timeline-updated(2)Pat Sessions
Paul Rowles was born in 1948 in Gainesville, Florida. He was sentenced to life in prison in 1972 for the murder of Linda Fida in Miami. Over the following decades, Rowles was implicated in several other crimes in Gainesville, including kidnapping and sexually assaulting a minor in 1976, and was suspected in the disappearances of Elizabeth Foster in 1989 and Tiffany Sessions in 1992. DNA evidence later tied Rowles to the crime scenes of both Foster and Sessions. Rowles was paroled in 1989 but continued to be involved in criminal activities until his death in prison in 2013.
This document contains a survey with 14 questions regarding Malaysian architectural identity and culture. The questions ask the respondent for their opinions on whether Malaysia's future architectural identity depends on leadership, their views of buildings like Putrajaya and the Parliament building, whether cultural architecture can maintain its identity, and if political issues can affect architectural identity. The respondent is asked to answer "yes" or "no" to indicate their opinion on each question.
The document discusses principles and processes for user interface design for health information systems. It covers principles for layout, navigation design using menus and messages, input design using different input types and validation, and output design. The goal is to design interfaces that are usable, learnable, and support users' tasks through application of these principles and following a process of requirements analysis, prototyping, and evaluation.
La formación es un proceso de desarrollo personal que depende tanto del esfuerzo individual como del apoyo social. Incluye la educación popular, la formación profesional y la formación de adultos, y busca transmitir conocimientos para beneficiar a la sociedad y promover el cambio social. La formación se entiende como una institución con planes de estudio y normas, y comprende la formación académica, profesional y de formadores para que sean sujetos autónomos con dominio de diversas áreas de conocimiento.
Финалист конкурса на "Лучшую муниципальную практику поддержки предпринимательства и улучшения инвестиционного климата" в рамках Национальной премии "Бизнес-Успех" по ЦФО
El documento resume las ideas principales de Marc Bloch sobre la historia expresadas en su libro Introducción a la Historia. Bloch argumenta que la historia no es solo de los humanos, sino también de otros seres vivos y fenómenos naturales. Además, señala que el contenido de lo que constituye la historia ha cambiado con el tiempo y que existen diversas historias fuera del ámbito de los historiadores. Finalmente, destaca que el tiempo es fundamental para la historia ya que es donde los fenómenos pueden ser comprendidos en su contexto.
Furse earthing-and-lightning-protection-product-catalogue SAUDI ARABIA LTD.AKBAR TRADING
This document provides information about Mohd. Bin Ahmed Akbar Trading Est., including their contact information and details about the services they provide related to electrical, automation, and instrumentation projects in Jubail, Saudi Arabia. It also contains two identical sections with the company's contact information.
India is a major producer and consumer of agricultural goods and seafood. It has over 7,500 km of coastline with 200 ports handling 95% of international cargo. As incomes and spending rise, demand for quality perishable foods is increasing rapidly. However, India lacks integrated cold chain infrastructure to efficiently transport perishables from farms to markets. Recovering and utilizing stranded cold energy from LNG terminals presents a major opportunity. The 18 proposed LNG terminals across India could provide over 1,000 MW of clean, low-cost energy to power a national cold chain network and perishables logistics hub. This would minimize food waste and boost agricultural exports.
RAYCHEM SAUDI ARABIA LTD. (TYCO ELECTRONICS) |AKBAR TRADING EST. SAUDI ARABIA...AKBAR TRADING
te connectivity saudi arabia
TYCO TERMINATION KIT IN ALL VOLTAGE
Raychem terminations for polymeric and MIND
paper insulated cables from 7.2 kV up to 36 kV
System Designer
케이블 종단-거-瑞侃工具包电缆终端-阿克巴交易
ชุด การเลิกจ้าง
RAYCHEM SAUDI ARABIA LTD. (TYCO ELECTRONICS)
11kV-33kV Medium Voltage Heat Shrink Cable Joints & Cable Terminations
11kV and 33kV heat shrink cable joints and cable terminations for medium voltage power cables - SPS heat shrink cable joints and cable terminations are suitable for installation at indoors and outdoors in the Middle East countries, this includes salt laden and dusty atmospheres associated with the Middle East oil, gas and petrochemical industries. Cable terminations and cable joints are suitable for XLPE and paper insulated single core and three 3 core cables of 11kV and 33kV voltages, 3 phase, 50HZ type electrical systems with highest system voltages of 12kV and 36kV. Cable joints are suitable for connecting two XLPE insulated cables of same size or dissimilar sizes and for transition between XLPE and paper insulated lead covered (PILC) medium voltage cables.
El documento presenta un diagrama de barras verticales con 22 barras que muestran la distribución de datos de una variable estadística. El diagrama no incluye etiquetas de ejes u otra información contextual.
Grounding for BASIC ELECTRICAL ENGINEERINGshubham211
This document discusses grounding in telecommunications systems. It covers the reasons for grounding including safety and equipment protection, different types of grounding methods for electrical, lightning, RF and electrostatic purposes. It then describes the key components of a telecom grounding system including bonding conductors, main grounding busbars, bonding backbones and grounding busbars. Bonding helps eliminate static discharge and reduce interference. Recommended materials for grounding and bonding include stranded copper conductors, compression lugs, busbars, hardware and conducting compounds.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdfDr Rachana Gujar
The "Comprehensive Rainy Season Advisory: Safety and Preparedness Tips" offers essential guidance for navigating rainy weather conditions. It covers strategies for staying safe during storms, flood prevention measures, and advice on preparing for inclement weather. This advisory aims to ensure individuals are equipped with the knowledge and resources to handle the challenges of the rainy season effectively, emphasizing safety, preparedness, and resilience.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
Joker Wigs has been a one-stop-shop for hair products for over 26 years. We provide high-quality hair wigs, hair extensions, hair toppers, hair patch, and more for both men and women.
Финалист конкурса на "Лучшую муниципальную практику поддержки предпринимательства и улучшения инвестиционного климата" в рамках Национальной премии "Бизнес-Успех" по ЦФО
El documento resume las ideas principales de Marc Bloch sobre la historia expresadas en su libro Introducción a la Historia. Bloch argumenta que la historia no es solo de los humanos, sino también de otros seres vivos y fenómenos naturales. Además, señala que el contenido de lo que constituye la historia ha cambiado con el tiempo y que existen diversas historias fuera del ámbito de los historiadores. Finalmente, destaca que el tiempo es fundamental para la historia ya que es donde los fenómenos pueden ser comprendidos en su contexto.
Furse earthing-and-lightning-protection-product-catalogue SAUDI ARABIA LTD.AKBAR TRADING
This document provides information about Mohd. Bin Ahmed Akbar Trading Est., including their contact information and details about the services they provide related to electrical, automation, and instrumentation projects in Jubail, Saudi Arabia. It also contains two identical sections with the company's contact information.
India is a major producer and consumer of agricultural goods and seafood. It has over 7,500 km of coastline with 200 ports handling 95% of international cargo. As incomes and spending rise, demand for quality perishable foods is increasing rapidly. However, India lacks integrated cold chain infrastructure to efficiently transport perishables from farms to markets. Recovering and utilizing stranded cold energy from LNG terminals presents a major opportunity. The 18 proposed LNG terminals across India could provide over 1,000 MW of clean, low-cost energy to power a national cold chain network and perishables logistics hub. This would minimize food waste and boost agricultural exports.
RAYCHEM SAUDI ARABIA LTD. (TYCO ELECTRONICS) |AKBAR TRADING EST. SAUDI ARABIA...AKBAR TRADING
te connectivity saudi arabia
TYCO TERMINATION KIT IN ALL VOLTAGE
Raychem terminations for polymeric and MIND
paper insulated cables from 7.2 kV up to 36 kV
System Designer
케이블 종단-거-瑞侃工具包电缆终端-阿克巴交易
ชุด การเลิกจ้าง
RAYCHEM SAUDI ARABIA LTD. (TYCO ELECTRONICS)
11kV-33kV Medium Voltage Heat Shrink Cable Joints & Cable Terminations
11kV and 33kV heat shrink cable joints and cable terminations for medium voltage power cables - SPS heat shrink cable joints and cable terminations are suitable for installation at indoors and outdoors in the Middle East countries, this includes salt laden and dusty atmospheres associated with the Middle East oil, gas and petrochemical industries. Cable terminations and cable joints are suitable for XLPE and paper insulated single core and three 3 core cables of 11kV and 33kV voltages, 3 phase, 50HZ type electrical systems with highest system voltages of 12kV and 36kV. Cable joints are suitable for connecting two XLPE insulated cables of same size or dissimilar sizes and for transition between XLPE and paper insulated lead covered (PILC) medium voltage cables.
El documento presenta un diagrama de barras verticales con 22 barras que muestran la distribución de datos de una variable estadística. El diagrama no incluye etiquetas de ejes u otra información contextual.
Grounding for BASIC ELECTRICAL ENGINEERINGshubham211
This document discusses grounding in telecommunications systems. It covers the reasons for grounding including safety and equipment protection, different types of grounding methods for electrical, lightning, RF and electrostatic purposes. It then describes the key components of a telecom grounding system including bonding conductors, main grounding busbars, bonding backbones and grounding busbars. Bonding helps eliminate static discharge and reduce interference. Recommended materials for grounding and bonding include stranded copper conductors, compression lugs, busbars, hardware and conducting compounds.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdfDr Rachana Gujar
The "Comprehensive Rainy Season Advisory: Safety and Preparedness Tips" offers essential guidance for navigating rainy weather conditions. It covers strategies for staying safe during storms, flood prevention measures, and advice on preparing for inclement weather. This advisory aims to ensure individuals are equipped with the knowledge and resources to handle the challenges of the rainy season effectively, emphasizing safety, preparedness, and resilience.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
Joker Wigs has been a one-stop-shop for hair products for over 26 years. We provide high-quality hair wigs, hair extensions, hair toppers, hair patch, and more for both men and women.
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
Visit : https://massagespaajman.com/
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This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
PET CT beginners Guide covers some of the underrepresented topics in PET CT
Mlt 2015 clinical case study updated
1. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
2. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
3. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
67-year-old Male
Patient admitted through Emergency Room via ambulance
from home
After medical work-up patient was admitted to Medical-
Surgical unit
Length of stay: 10/14/2015 -10/17/2015
4. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
5. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Advanced Alcoholic Cirrhosis
• Currently on the liver transplantation lists
Type 2 Diabetes Mellitus
• Insulin required
Chronic Kidney Disease
• Probable Stage III
History of esophageal varices
• Banding Procedure
History of Iron Deficient Anemia
6. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
7. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Mental Altered Status and Lethargy
Pale Completions
Significant Ascites
Noted Lower Extremities Edema
8. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Afebrile, none of the following symptoms:
Shows no signs of chills, nausea, vomiting, diarrhea, rectal
bleeding, melena or hematoemesis
No Respiratory discomfort
• No SOB, pleurisy, cough, wheezing
No known Cardiac involvement
• No chest pain, irregular palpitation, dizziness, syncopal
episodes
No headache, blurred vision, double vision, sore
throat, or tinnitus
9. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Significant ascites
Noted chronic lower extremity edema
Oxygen saturation with in normal limits on room air
Mucous membranes appears somewhat dry
No evidence of scleral icterus involvement
Does not smoke
Continuation abstinence from alcohol since 2003
10. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
11. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Pre-Analytical Work-up
Patient Verification Process
Blood culture
• Microbiology-yellow top
Sodium citrate tubes
• Coagulation assay-blue top- PT PTT/INR
Heparin tubes-
• Chemistry analysis -SST- Light green/Red top
(clot activator) -BMP, CMP, Lactic acid, CTNI,
Ammonia)
12. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
K3EDTA Tube
• Hematology and Blood Bank-confirmation-
lavender top
K2 EDTA Tube
• Blood Bank -ABORH, T & S, major crossmatch units
requested- pink top
Sodium oxalate/fluoride Tube
• Respiratory department-lactic acid on ice-gray top-
no tourniquet used
Specimen Transportation to Laboratory
• Proper Inversion Performed
• Ammonia and lactic acid on ice
13. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
14. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
15. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
16. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
↑ Monocytes-
• Severe Alcohol Cirrhosis
↓ WBC’s, RBC’s,
HGB, HCT, MCV,
MCH, and Platelets
Indicative of
Microcytic,
hypochromic
Anemia
Pancytopenia
• ↓in WBC’s, RBC’s,
Platelets in
peripheral blood
17. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
18. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
20. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
↑Glucose
• Type 2 Diabetes Mellitus
↑Bun
• Severe renal impairment
↑Creatinine
• Impaired renal function
↓ Sodium
↓ Calcium
• Metabolic & electrolyte imbalance
↓ Total Protein
↓ Albumin
• Acute, Severe,
Chronic Liver &
Kidney disease
↓ Magnesium
• hypomagnesemia
↑ Lactic Acid
• Liver and Kidney Damage
↑ Ammonia-
• Advance Liver Disease and
Renal failure
↓ Ferritin
• Iron deficiency Anemia
21. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
22. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
ABO/RH Type A pos
Antibody Screen Positive
Antibody Panel Identification Anti-E, Panagglutinin, Warm autoantibody, Muliple Antibody, Postive autoantibody
Antigen E Type Negative
AHG/Direct Combs Testing IgG Positive
Elution Panel Studies (done by ARC) Panaggltuinin, Warm autoantibody
ABORH TYPE AND ANTIBODY PANEL RESULTS
TESTS RESULTS
Cross-Matched Packed RBC's Cell Transfusion Record
Date and Time 10/14/2015 10/14/2015 10/16/2015
Tranfusion Reaction
Started 1330 Started 1810 Started 1215 None
Stopped 1625 Stopped 2100 Stopped 1458 None
Amount Given 350 mL 350 mL 350 mL
23. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Cross-Matched Packed RBC's Cell Transfusion Record
Date and Time 10/14/2015 10/14/2015 10/16/2015
Tranfusion
Reaction
Started
18102110 Started 1330
Started
1215 None
Stopped 21100 Stopped 1625
Stopped
1458 None
Amount Given 350 mL 350 mL 350 mL
Typed and Major Crossmatch Compatible
• 4 units of A Negative and 2 units of A positive Anti-E
Negative, Antigen E Negative
3 Units Transfused
24. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
25. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
↑Prothrombin Time
• Chronic Liver Cirrhosis/Severe
hepatocellular disease
26. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
27. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
28. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
↑ Hyaline cast
Granular casts
• Urinary stasis
29. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
30. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
GI Track/ Esophageal variceal suspected
Blood Culture
• No growth after 48 hours
Peritoneal Fluid
• No Growth after 72 hours
OCCULT BLOOD STOOL TEST
TEST 10/14/2015 Performed in ER by Physician 10/14/2015 @ 2326
Negative POSITIVE
31. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
32. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
IV Solutions and Drugs
Dextrose 50%
-Fluid and nutrient replenish
Naloxone HCL
-Opioid antagonist
Ondansetron (zofran)
-Anti-nausea
Rocephin
-Antibiotic
Insulin
Glucagon (IM)
Insulin Lispro
Insulin Detemir (IM)
Oral Vitamins
Folic acid
Magoxide (magnesium oxide)
Vitamin B-1
Sublinqual
Nitroglycerin Sublingua
-Nitrates
33. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
34. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Hepatic Encephalopathy
• Advance Liver Cirrhosis
Prerenal etiology
• Chronic Diuretic Use
Acute Kidney Injury
• Sudden decrease kidney function within a few
hours
Pancytopenia
• Aplastic anemia
GI Track Bleed
• Underlying Varices bleeding
Hypomagnesemia
• ↓Magnesium
35. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
36. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Very good, 80% to 90% survival rate IF liver
transplantation occurs
Very poor, death will be imminent if liver
transplantation does not occur
Possible kidney dialysis and/or eventually a
kidney transplant
37. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
38. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Blaney, K., & Howard, P. (2013). Basic & Applied Concepts of Blood Banking and
Transfusion Practices (3rd ed.). St. Louis, Missouri: Elsevier Mosby.
Blood Bank Guy.(1998-2015).Panagglutinin. Retrieved December 2, 2015, from
http://www.bbguy.org/education/glossary/index.aspx?alphabet=p&id=190
Betty, C. (2012). Normochromic Anemia: Biochemical, Membrane, and
Miscellaneous Red Blood Cell Disorders. In Hematology in Practice (2nd ed.,
pp. 98-109). Philadelphia, Pa 19103: F.A Davis Company.
Drugs.Com.(2000-2015). Dextrose 50 % Injection. Retrieved December 2, 2015,
from http://www.drugs.com/pro/dextrose-50-injection.html
Drugs.Com. (2000-2015). Glucagon. Retrieved December 2, 2015, from
http://www.drugs.com/mtm/glucagon.html
39. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Drugs.Com. (2000-2015). Insulin-determir. Retrieved December 2, 2015, from
http://www.drugs.com/mtm/insulin-detemir.html
Drugs.Com. (2000-2015). Insulin-lispro. Retrieved December 2, 2015 from
http://www.drugs.com/mtm/insulin-lispro.html
Drugs.Com. (2000-2015).Magnesium oxide. Retrieved December 2, 2015 from
http://www.drugs.com/search.php?searchterm=magnesium+oxide&a=1
Drugs.Com.(2000-2015). Naloxone HCL. Retrieved December 2, 2015, from
http://www.drugs.com/mtm/naloxone.html
Drugs.Com. (2000-2015). Nitroglycerin Sublingual. Retrieved December 2, 2015,
from http://www.drugs.com/mtm/nitroglycerin.html
40. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
Drugs. Com. (2000-2015). Ondansetron . Retrieved December 2,
2015, from http://www.drugs.com/.ondansetron.html
Drugs. Com. (2000-2015).Rocephin. Retrieved December 2, 2015,
from http://www.drugs.com/rocephin.htm
Drugs. Com.(2000-2015). Vitamin B-1. Retrieved December 2,
2015, from http;//www.drugs.com/mtm/vitamin_B-1.html
LabCE.(2015).Granular Casts. Retrieved December 2, 2015, from
https://www.labce.com/spg30119_granular_casts.aspx
McCall, R., & Tanhersley, C. (2012). Phlebotomy Essentials (5th ed.).
Baltimore, MD: Lippincott Williams & Wilkins, A Wolters
Kluwer business
41. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
McClain, C. (2002). Monocyte activation in alcoholic liver disease.
Retrieved December 3, 2015, from
http://www.alcoholjournal.org/article/S0741-8329 (02)00212-
4/abstract
Medline Plus (n.d). Magnesium Oxide. Retrieved December 2,
2015, from
https://www.nlm.nih.gov/medlineplus/druginfo/meds/a6010
74.html
National Kidney Foundation.(2015). ACUTE KIDNEY INJURY (AKI).
Retrieved December 3, 2015, from
https://www.kidney.org/atoz/content/AcuteKidneyInjury
42. Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern
Maryland
Renee Backen
MLT-2015
Date: December 3, 2015
Professor Tiffany Gill
College of Southern Maryland
NIH U.S National Library of Medicine. (2015). Hepatic
encephalopathy. Retrieved December 3, 2015, from
https://www.nlm.nih.gov/medlineplus/ency/article/0003
02.htm
Strasinger, S., & Di Lorenzo, M. (2008). Urinalysis and Body
Fluids (5th ed.). Philadelphia, Pa 19103: F.A. Davis
Company.
Sunheimer, R., & Graves, L. (2011). Clinical
laboratory chemistry. Boston: Pearson.
Editor's Notes
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McCall, R., & Tanhersley, C. (2012). Phlebotomy Essentials (5th ed.). Baltimore, MD: Lippincott Williams & Wilkins, A Wolters Kluwer business.
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Download Power Point. (n.d.). Best Test Tube PowerPoint. the template. Retrieved December 3, 15, 2015, from Templateshttp://www.downloadpowerpointtemplates.com/Medical/Blue-test-tube-Medical-Powerpoint--the-Templates.html
McCall, R., & Tanhersley, C. (2012). Phlebotomy Essentials (5th ed.). Baltimore, MD: Lippincott Williams & Wilkins, A Wolters Kluwer business.
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Download Power Point. (n.d.). Best Test Tube PowerPoint. the template. Retrieved December 3, 15, 2015, from Templateshttp://www.downloadpowerpointtemplates.com/Medical/Blue-test-tube-Medical-Powerpoint--the-Templates.html
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McClain, C. (2002). Monocyte activation in alcoholic liver disease. Retrieved December 3, 2015, from http://www.alcoholjournal.org/article/S0741-8329 (02)00212-4/abstract
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Carson-DeWitt, Rosalyn.(2006). Pernicious Anemia. Gale Encyclopedia of Medicine, 3rd ed.. 2006. Retrieved December 3, 2015 from Encyclopedia.com: http://www.encyclopedia.com/doc/1G2-3451601237.html
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Sunheimer, R., & Graves, L. (2011). Clinical laboratory chemistry. Boston: Pearson.
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Download Power Point. (n.d.). Best Test Tube PowerPoint. the template. Retrieved December 3, 15, 2015, from Templateshttp://www.downloadpowerpointtemplates.com/Medical/Blue-test-tube-Medical-Powerpoint--the-Templates.html
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Download Power Point. (n.d.). Best Test Tube PowerPoint. the template. Retrieved December 3, 15, 2015, from Templateshttp://www.downloadpowerpointtemplates.com/Medical/Blue-test-tube-Medical-Powerpoint--the-Templates.html
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LabCE.(2015).Granular Casts. Retrieved December 2, 2015, from https://www.labce.com/spg30119_granular_casts.aspx
http://www.downloadpowerpointtemplates.com/Medical/Blue-test-tube-Medical-Powerpoint--the-Templates.html
Strasinger, S., & Di Lorenzo, M. (2008). Urinalysis and Body Fluids (5th ed.). Philadelphia, Pa 19103: F.A. Davis Company.
LabCE.(2015).Granular Casts. Retrieved December 2, 2015, from https://www.labce.com/spg30119_granular_casts.aspx (graphic image)
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Download Power Point. (n.d.). Best Test Tube PowerPoint. the template. Retrieved December 3, 15, 2015, from Templateshttp://www.downloadpowerpointtemplates.com/Medical/Blue-test-tube-Medical-Powerpoint--the-Templates.html
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Download Power Point. (n.d.). Best Test Tube PowerPoint. the template. Retrieved December 3, 15, 2015, from Templateshttp://www.downloadpowerpointtemplates.com/Medical/Blue-test-tube-Medical-Powerpoint--the-Templates.html
Drugs.Com.(2000-2015). Dextrose 50 % Injection. Retrieved December 2, 2015, from http://www.drugs.com/pro/dextrose-50-injection.html
Drugs.Com. (2000-2015). Glucagon. Retrieved December 2, 2015, from http://www.drugs.com/mtm/glucagon.html
Drugs.Com. (2000-2015). Insulin-determir. Retrieved December 2, 2015, from http://www.drugs.com/mtm/insulin-detemir.html
Drugs.Com. (2000-2015). Insulin-lispro. Retrieved December 2, 2015 from http://www.drugs.com/mtm/insulin-lispro.html
Drugs.Com. (2000-2015).Magnesium oxide. Retrieved December 2, 2015 from http://www.drugs.com/search.php?searchterm=magnesium+oxide&a=1
Drugs.Com.(2000-2015). Naloxone HCL. Retrieved December 2, 2015, from http://www.drugs.com/mtm/naloxone.html
Drugs.Com. (2000-2015). Nitroglycerin Sublingual. Retrieved December 2, 2015, from http://www.drugs.com/mtm/nitroglycerin.html
Drugs.Com. (2000-2015). Ondansetron . Retrieved December 2, 2015, from http://www.drugs.com/.ondansetron.html
Drugs.Com. (2000-2015).Rocephin. Retrieved December 2, 2015, from http://www.drugs.com/rocephin.htm
Drugs.Com.(2000-2015). Vitamin B-1. Retrieved December 2, 2015, from http;//www.drugs.com/mtm/vitamin_B-1.html
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Download Power Point. (n.d.). Best Test Tube PowerPoint. the template. Retrieved December 3, 15, 2015, from Templateshttp://www.downloadpowerpointtemplates.com/Medical/Blue-test-tube-Medical-Powerpoint--the-Templates.html
NIH U.S National Library of Medicine. (2015). Hepatic encephalopathy. Retrieved December 3, 2015, from https://www.nlm.nih.gov/medlineplus/ency/article/000302.htm
National Kidney Foundation.(2015). ACUTE KIDNEY INJURY (AKI). Retrieved December 3, 2015, from https://www.kidney.org/atoz/content/AcuteKidneyInjury
Ciesla, B. (2012). Hematology in practice (2nd ed). Philadelphia, Pa.: F.A. Davis Company.
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Bottom graphic image take from
LabCE.(2015).Granular Casts. Retrieved December 2, 2015, from https://www.labce.com/spg30119_granular_casts.aspx
http://www.downloadpowerpointtemplates.com/Medical/Blue-test-tube-Medical-Powerpoint--the-Templates.html
Strasinger, S., & Di Lorenzo, M. (2008). Urinalysis and Body Fluids (5th ed.). Philadelphia, Pa 19103: F.A. Davis Company.
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