Presentation

You are a final year medical student on an Emergency Medicine attachment. Dr. Kyriacou is your supervisor. 

Mattias Garcia, a 62-year-old man presents to the Emergency Department with his wife, complaining of diffuse muscle pain and severe muscle weakness, which started about 24 hours ago. You take a short history and establish that he was diagnosed with hypertension three years ago and dyslipidaemia a year ago. He is currently taking hydrochlorothiazide, simvastatin and low-dose aspirin. Mr Garcia is obese, and you ask about his diet. He tells you that he has recently started a new diet, the so-called grapefruit diet, which he heard was effective for weight loss. 

Investigations show elevated creatine kinase and creatinine, which is in line with the diagnosis you suspected. Dr. Kyriacou asks you to explain what has happened. 

What is the most likely explanation? 



  • Hypersensitivity reaction to medication
  • Grapefruit-simvastatin interaction
  • Grapefruit-thiazide interaction
  • Grapefruit-aspirin interaction

Map: Mattias Garcia_UNIC (1092)
Node: 20629
Score:

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OpenLabyrinth
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Review your pathway

  • The plate was not incubated at the appropriate temperature or CO₂ level.
  • go to a local cafe
  • Χορήγηση αίματος
  • Genotype and Phenotype
  • Χορηγείς αντιβιοτικά
  • go to espresso house
  • Decreased absorption of dietary cholesterol
  • Οδηγείς τον ασθενή στη ΜΕΘ
  • Your detail explanation
  • Laboratorio de alimentos
  • Node 11: Discuss involving a family member for additional support
  • Use open-ended questions and clarify priority symptoms (pain, discharge, fever).
  • Ask rapid questions using medical jargon (ischemia, necrotic tissue, perfusion).
  • Your detail explanation
  • Presentation

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