iHuman; Ken Fowler - Full Case
- $25.00
Problem Statement on case Ken Fowler
Mr. Fowler is a 70-year-old male who is sent to the ED by his primary care provider for further evaluation of a creatinine of 3.2 mg/dL following a 3 day history of nausea and vomiting, now with dry heaves, decreased appetite with poor PO intake, fatigue, decreased urine volume, orthostatic hypotension (108/60) and tachycardia (98 bmp). PMH significant for mild chronic renal disease with creatinine 1.1 one month ago and protein 400 mg, microalbuminuria. low back pain after lifting a heavy object last week. He self-medicated with Naproxen (NSAID) BID. Home medications include lisinopril, HCTZ, and metoprolol. Physical exam is notable for dry mucous membranes, mild periumbilical tenderness, lack of CVA tenderness or bladder distention.
