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Ken Fowler iHuman (70 y/o Orthostatic hypotension)

$26.00

  • Ken Fowler iHuman 70-year-old male referred to the ED for acute rise in creatinine (3.2 mg/dL; baseline 1.1 mg/dL one month ago)
  • Three-day history of nausea, vomiting with dry heaves, poor oral intake, fatigue, and decreased urine output
  • Presents with orthostatic hypotension (BP 108/60) and tachycardia (98 bpm), indicating volume depletion
  • Recent history of low back pain after lifting a heavy object; self-medicated with NSAIDs (Naproxen BID)
  • Past medical history includes mild chronic kidney disease, hypertension; current medications: lisinopril, metoprolol, HCTZ
  • Clinical features suggest acute kidney injury (AKI) likely due to volume depletion, NSAID use, and underlying CKD
  • Highlights the risks of NSAID use and dehydration in elderly patients with pre-existing renal impairment

Ken Fowler iHuman

70 y/o Orthostatic hypotension

Ken Fowler iHuman 70 y/o Orthostatic hypotension ihuman – a 70-year-old male who is sent to the ED by his primary care physician for further evaluation of a creatinine of 3.2 mg/dL following a three-day history of nausea and vomiting now with dry heaves, poor oral intake, fatigue, decreased urine volume and orthostatic hypotension (108/60) and tachycardia (98 bpm). PMH is significant for lifting a heavy object resulting in low back pain 1 week prior. He self-medicated with NSAIDS (Naproxen BID). His medications include lisinopril, metoprolol, and HCTZ. His PMH is also significant for mild chronic renal disease with a creatinine (one month ago) of 1.1 with 400 mg

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