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Q184 #Harrison
A . 16-year-old female star gymnast presents to your office complaining of fatigue, diffuse weakness, and muscle cramps. She has no previous medical history and denies tobacco, alcohol, or illicit drug use. There is no significant family history. Examination shows a thin female with normal blood pressure. Body mass index (BMI) is 18 kg/m2. Oral examination shows poor dentition. Muscle tone is normal, and neurologic examination is normal. Laboratory studies show hematocrit of 38.5%, creatinine of 0.6 mg/dL, serum bicarbonate of 30 mEq/L, and potassium of 2.7 mEq/L. Further evaluation should include which of the following?
A.plasma renin n aldosterone levels
B.serum magnesium levels
C .urinanalysis n urine culture
D.urine toxicology screen for diuretics
E.urine toxicology screen for opiatesNamed fractures of the vertebra
Burst fracture - vertical compression injury
Chance fracture - horizontal fracture of the vertebral body
Clay-shoveller’s fracture -spinous process fracture of C6,7 or T1
Dens fracture - odontoid process fracture
Hangman’s fracture - fracture of both Pedicles of C2
Holdsworth fracture - unstable spinal fracture-dislocation at the thoracolumbar junction
Jefferson fracture - fracture of first cervical vertebra
Motorcyclist’s fracture - transverse fracture across base of skull
Undertakers fracture - post mortem fracture of the lower cervical spine with C6-C7 disc disruption
All are reversible injury of cell EXCEPT
a. Vacoule disruption
b.karyorrhexis
C.Fat accumulation
d. Cell membrane swellingInspirationI was born to flex in my white coat ♥Mindset is everything ♥Happy New year!Love u family❤️Just pray, work hard and trust Allah | Niven Abu Ramadan 🩺Have a great Wirk