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? 



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

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

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Αλληλούχιση Γονιδιώματος
  • It is advisable to start aspirin rather than warfarin
  • Option 3
  • Ενίσχυση DNA
  • There is a different underlying cause, not related to asthma or medication
  • Τεστ γαλακτώματος
  • Warfarin may be commenced but LMWH is also needed initially
  • Nosebleed management
  • CULTIVO CELULAR
  • Privacy risk
  • Sinteza proteinelor
  • History of Hypertension (HTN), History of Type 2 Diabetes Mellitus (T2DM), and Dyslipidemia
  • Ethanol
  • Step 1
  • Περπάτημα μια ώρα την ημέρα
  • Breakfast Tuesday Morning
  • Ορισμός 1
  • Ο μπαμπάς συζητά με το γιο του.
  • 5 year old boy with bronchial obstruction
  • Η σύγχρονη αντιμετώπιση του διαβητικού ποδιού
  • Pater in oče se skupaj igrata.
  • Las células HeLa se cultivan fácilmente y son altamente proliferativas
  • Hypersensitivity reaction to medication
  • Start
  • Go to Esspreso house
  • Presentation
  • It is absolutely inadvisable to commence warfarin
  • Treatment
  • Request permission to record without explaining privacy
  • Go to espresso house
  • Grapefruit-simvastatin interaction
  • Glyceryl trinitrate
  • Salmeterol (LABA)
  • Adverse effect to paracetamol
  • Dobutamine (beta agonist)
  • Root Node
  • Root Node
  • CULTURA ȘI CREȘTEREA MICROBIANĂ
  • ΠΕΨΗ ΤΟΥ DNA ΜΕ ΠΕΡΙΟΡΙΣΤΙΚΕΣ ΕΝΔΟΝΟΥΚΛΕΑΣΕΣ
  • Ramipril (ACE inhibitor)
  • Warfarin may be commenced as an alternative to apixaban
  • Omalizumab (IgE antibody)/Salbutamol (SABA)
  • Amnestic exam
  • Root Node
  • Digoxin
  • Bivalirudin (direct thrombin inhibitor)
  • Decreased absorption of dietary cholesterol
  • Start
  • Salbutamol (SABA)
  • new node
  • Lansoprazole, bismuth subsalicytate, metronidazole, and tetracycline
  • CELL CULTURE
  • Give Nurse Instruction
  • Root Node
  • High Molecular Weight Heparin
  • Opțiunea 1
  • Presentation

Reminder

empty_reminder_msg

FINISH

Time is up