Case Study Assessment and Management of Carl VinsonRiverside City College

Case Study Assessment and Management of Carl Vinson- Riverside City College
Carl Vinson, a 65-year-old Caucasian man, was admitted today with increased shortness
of breath, fatigue, and decreased level of consciousness. Mr. Vinson has a history of liver
disease, most likely related to a long history of alcohol use. Upon arrival to the unit, he is
somnolent and responds only to shouting and shaking. Upon arousal, he is only able to
state his first name. His wife accompanies him to the unit, and describes that he has
become increasingly restless over the last 3 days, and she is concerned for his safety.
Additionally, he has not eaten or taken in any fluids in 24 hours.
Case Study Assessment and Management of Carl
Vinson- Riverside City College
a. Correlate the patient’s presenting clinical manifestations and identify a probable
diagnosis based on the information provided.
The patient appears to be experiencing hepatic encephalopathy as evidenced by the
patient’s severe fatigue, decrease in level of coinciousness, anorexia, and restlessness.
Other signs and symptoms of hepatic encephalopathy may include motor disturnbanes,
asterixis, sleep patterns, and fetor hepaticus
b. List at least 5 blood tests that you would anticipate being ordered for Mr. Vinson
Give the rationale for each lab test and how it relates to the patient’s
condition.
• CBC – Can give insight to cause of symptoms like elevated WBC, low H/H, and
other issues.
• CMP – Can indicate a kidney disease, DM, hormone imbalances, and liver
disease.
o Serum Animotransferase Studies

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