Outcome

Two days later, Nurse Rina calls you in a panic. "Doc, Mr. Hartono is unresponsive! He had a seizure this morning."

  •      Explanation: You continued hepatotoxic drugs (or mistreated) a patient with severe DILI. This triggered acute liver failure, leading to hepatic encephalopathy and coagulopathy. The patient suffers irreversible liver damage.
  •      Learning Objective Failed: Failure to recognize a medical emergency (severe DILI) and failure to apply the "primum non nocere" (first, do no harm) principle.

Map: Tuberculosis Case _1 (1129)
Node: 21495
Score:

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Ανάλυση Ρίσκου Αυτοκτονικού ασθενούς
  • Flaccid (in hypotonic solution) and turgid (in isotonic solution)
  • Turgid (in hypotonic solution) and flaccid (in isotonic solution)
  • "Such high AST/ALT must be a severe infection, possibly cholangitis. Stop the anti tuberculosis drug and start broad-spectrum antibiotics immediately."
  • "Reduce the anti tuberculosis drug 4-FDC dose to half. Let's monitor for 3 more days. Maybe his liver is just need some adjusting dose.
  • Turgid (in hypotonic solution) and plasmolised (in isotonic solution)
  • Got panic
  • "This is a severe Drug-Induced Liver Injury (DILI) from the anti tuberculosis drug.
  • "This is likely a coincidental acute viral hepatitis. Continue the anti tuberculosis drug to prevent resistance. Give a liver supplement and refer for hepatitis serology.
  • Osmosis in animal cell practical
  • Outcome
  • Outcome
  • Outcome

Reminder

empty_reminder_msg

FINISH

Time is up