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 (thiazide diuretic), simvastatin (statin) and low-dose aspirin (COX inhibitor, antiplatelet). 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-aspirin (antiplatelet) interaction
Grapefruit-simvastatin (statin) interaction
Grapefruit-thiazide diuretic interaction

Map: Mattias Garcia_ORU (1096)
Node: 20721
Score:

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  • Food laboratory
  • MĂSURI DE SIGURANȚĂ ÎN LABORATOR
  • Video Consultation
  • Root Node
  • Root Node
  • Verify patient identity and obtain e-consent before starting.
  • CULTIVO Y CRECIMIENTO MICROBIANO
  • Glycerol trinitrate (organic nitrate)
  • Bisoprolol (Beta-blocker)
  • Furosemide (loop diuretic)
  • Dobutamine (beta agonist)
  • Learn about cognitive decline and aging
  • A 70 years old male with hematuria
  • go to espresso house
  • BEGIN SCENARIO
  • BIOSTATISTICS: INTRODUCTION TO PROBABILITIES
  • Definiția 2
  • Presentation
  • Virtual Patient Scenario: Maria's Telemonitoring Empowerment Journey
  • Nα μην έχει οπτική επαφή;
  • RESTRICȚIA DIGESTIEI ADN-ULUI PRIN ENDONUCLEAZE
  • MENDELIAN GENETICS AND GENETIC PROBLEMS
  • Root Node
  • Root Node
  • Root Node
  • ΧΡΗΣΗ ΒΑΣΙΚΟΥ ΕΡΓΑΣΤΗΡΙΑΚΟΥ ΕΞΟΠΛΙΣΜΟΥ
  • Intro
  • Ask more questions - get a detailed medical history
  • 8 y.o. Child came in the ER with his mother
  • USING BASIC LABORATORY EQUIPMENT
  • 50 y.o. male patient arrives at the ER
  • The Telemedicine Dilemma
  • Alotetaan!
  • Start
  • Έναρξη
  • MICROSCOPIA ELECTRONICĂ
  • ΚΥΤΤΑΡΙΚΗ ΔΟΜΗ ΚΑΙ ΛΕΙΤΟΥΡΓΙΑ
  • You should never use antacids
  • Food laboratory
  • clinical examination
  • LAB SAFETY
  • new node
  • ΚΥΤΤΑΡΙΚΗ ΚΑΛΛΙΕΡΓΕΙΑ
  • Losartan (Angiotensin II Converting Blocker)
  • Root Node
  • Start the consultation without verification
  • Emergency Department
  • CULTIVO CELULAR
  • Nosebleed management
  • Να τον αγκαλιάσει
  • Root Node
  • Step 1
  • Hydrochlorothizide (thiazide diuretic)
  • Γυναίκα με κοιλιακό άλγος
  • Go to Esspreso house
  • Request permission to record without explaining privacy
  • Root Node
  • If you use antacids, it's better to use calcium carbonate
  • Ramipril (ACE inhibitor)
  • Analgetics
  • Option 1
  • If you use antacids, it is better to combine them with alginates
  • Bivalirudin (direct thrombin inhibitor)
  • High Molecular Weight Heparin
  • Go to a local cafe
  • Αρχίζει Γνωσιακή - Συμπεριφορική Θεραπεία
  • Furosemide (loop diuretic)
  • Inicio
  • Hi, I can’t see you well.
  • Budesonide (glucocorticoid)/formoterol (LABA)
  • Request permission to record without explaining privacy
  • Inicio
  • Furosemide
  • Start
  • Taking Medical History
  • As A doctor
  • Stagiu de practică în Laboratorul de criminalistică
  • new node
  • Theophylline (methylxanthine)
  • Omalizumab/Salbutamol
  • Grapefruit-simvastatin (statin) interaction
  • Glycerol trinitrate
  • History Present Illness
  • send home
  • History Present Illness
  • Start
  • Go to local cafe
  • Physical Examination and Lab Tests
  • Dobutamine
  • Send him for f CT coron
  • Past Medical History (PMH)
  • Start
  • lung auscultation
  • Option 3
  • Option 2
  • Salbutamol
  • Definiția 1
  • Sacubitril-valsartan (ARNI)
  • Assess the safety of the scene
  • Examination
  • Start
  • Nurse's Initial Report
  • Splash!
  • Glyceryl trinitrate (organic nitrate)
  • Biostatistica: Introducere în teoria probabilităților
  • Labs
  • START
  • Presentation

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