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? 




  • Grapefruit-thiazide diuretic interaction
  • Hypersensitivity reaction to medication
  • Grapefruit-simvastatin (statin) interaction
  • Grapefruit-aspirin (antiplatelet) interaction

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

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • A, B, D
  • Drop out of therapy early
  • Stay in therapy (continue with CBT sessions)
  • Start
  • Make an appointment with her GP
  • Start
  • Keep on taking the anti-anxiety medications
  • new node
  • Grapefruit-aspirin (antiplatelet) interaction
  • Start
  • go to espresso house
  • Increased entry of fatty acids into adipocytes
  • Root Node
  • Start
  • Mennään uimaan
  • Εργαστήριο τροφίμων
  • MĂSURI DE SIGURANȚĂ ÎN LABORATOR
  • 2.She should include some kind of physical activity in her daily routine
  • Verify patient identity and obtain e-consent before starting.
  • Nurse's Initial Report
  • 2
  • Nodo inicial
  • Ο ρόλος του εικονικού ασθενή ως εκπαιδευτικό εργαλείο στη διαχείριση και την αντιμετώπιση του διαβητικού ποδιού
  • Start
  • Genetica mendeliană și problemele genetice
  • You request labs, x-rays and explain more about pain management
  • Go back and continue therapy
  • You prescribe NSAIDs and/or acetaminophen to manage his pain
  • Quit therapy for now
  • Other options for pain management
  • Do nothing more than therapy
  • Stop taking the medication immediately
  • UTILIZANDO MATERIAL BÁSICO DE LABORATORIO
  • Connecting Care Virtually: Building Trust and Teamwork in Digital Health Communication
  • Starts working out in a gym
  • Building Trust and Teamwork in Digital Health Communication
  • Station 3 - Blood pressure measurement
  • Start
  • Θόρυβος εικόνας
  • Educating your patient on self-management
  • CELL CULTURE
  • Acute kidney and GI damage due to NSAIDs and/or acetaminophen overuse
  • Biostatistica: Introducere în teoria probabilităților
  • Results of labs, x-rays come back
  • Patient has elevated liver enzymes
  • Λάθος!
  • Λάθος!
  • A microscope that uses light source to magnify objects
  • Ask rapid questions using medical jargon (ischemia, necrotic tissue, perfusion).
  • RESTRICTION ENDONUCLEASE DIGESTION OF DNA
  • Εισαγωγή για θεραπευτική αντιμετώπιση
  • Molecular Cloning
  • Identification test for glucose
  • A microscope that uses light source to magnify objects
  • Root Node
  • Glyceryl trinitrate (organic nitrate)
  • Start
  • Πρωτεϊνοσύνθεση
  • Presentation
  • Furosemide (loop diuretic)
  • Food laboratory
  • geiaa
  • Presentation

Reminder

empty_reminder_msg

FINISH

Time is up