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Last updated on: January 9th, 2022
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You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.
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A 64 year old lady presents with dysuria, suprapubic pain, and nausea and vomiting for 3 days. She also complains of right flank pain and fever since yesterday.
She has been on treatment for diabetes and hypertension for the last 8 years, with poor control, and is currently on insulin, losartan and amlodipine. She had temporarily stopped insulin for the last 3 days, given her reduced food intake.
She also underwent extracorporeal shock wave lithotripsy for recurrent renal calculi last year. A complete blood count is significant for a leukocyte count of 12,500/mm3, while a random plasma glucose level is 917 mg/dL.
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