antibiotics – diuretics – split bili and other tests

His parents are upset that they are not able to take him home and not keen for him to have further test. However they are also keen for any problems to be identified before he leaves.

The blood tests are done and all available the following morning. During this time it becomes clear that Dominic’s stools are paler than normal.

Hb       112 g/L

Wcc    6.3 x 109/L

Plats    313 x 109/L

Bilirubin                                              256 micormol/L (198 conjugated)

Alkaline phosphatase             365 U/L

Alanine aminotransferase                  112 U/L

TSH                                                    2.1 mU/L

DCT                negative

Urine MSU     negative

 

He is discussed with the hepatology service and transferred the following day. Dominic’s parents thank you for his care and leave a box of chocolates for the staff.

Further investigations show that he has biliary atresia. He undergoes surgery for this, which is successful. Following this his stools become darker again and he makes good progress.

Map: TAME case 1 - Dominic Barton (Tutorial 1) (320)
Node: 7931
Score:

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OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Give Intravenous Antibiotics
  • Αναισθησιολογικός έλεγχος
  • Παίρνετε τα αποτελέσματα των εργαστηριακών εξετάσεων και των ακτινογραφιών
  • Σταματάει προς το παρόν την ψυχοθεραπεία
  • Gre za slikanje.
  • Feels better and stops taking her medication
  • Now perform laboratory tests to complete the investigation
  • new node
  • Allow the mother to bring Rory back when convenient
  • Δεν έχω πολύ χρόνο. Βάζω τα αρχεία μου σε ένα φλασάκι.
  • Mature oak tree leaves
  • antibiotics – diuretics – split bili and other tests

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