Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
ZEESHAN TARIQ MD
CASE PRESENTATION
Presenting Complaint
66 yr old black American with lower abdominal and back pain for the
last 3 months.
6/10 intensity.
Dull pain.
Worsened by movements.
Review of symptoms:
Hypertension
Psoriasis on steroids.
Family History:
Hypertension
SOCIAL HISTORY
No h/o Smoking
No h/o Alcoholism
Allergies:
NKA
Examination
Middle age black American lying anxiously in bed well oriented in
time space and person with vitals of:
BP: 143/86
Pulse: 93
R/R : 18
Afebrile
Ox Sat : 95% on RA
Abdominal Exam:
Soft abdomen
No visceromegaly
WBC 6.9
Ht 39.9
Platelets 185
BMP: Normal
Amylase 296
Lipase 79
UA: Normal
Liver function test
Bilirubin 0.9
ALT 22
AST 23
Albumin 2.9
PTT 20.0
CA 19-9: 48
CEA: 3.9
Glucagon: 67
PSA: 0.9
Summary
66 year old came with lower abdominal and back pain.
Recently diagnosed DM 2
Psoriasis on steroids
Newly diagnosed DM 2
Pancreas 24 percent
Lung 20 percent
Prostate 13 percent
Stomach 12 percent
Acute leukemia 9 percent
Colon 5 percent