BOF 2.33
A 26-year-old female presents with abdominal pain, nausea
and vomiting and constipation. She complains of discolouration of her urine.
There is a previous history of epilepsy. On examination she is in pain, pulse
rate of 120 beats per minute, BP 160/90 abdomen soft not distended, no lumps
or tender areas, bowel sounds normal.
Investigations reveal:
Hb12.5 g/dL
White cell count 5.5 x 10 9 /L
Neutrophils 3.5 x 10 9 /L
Lymphocytes 1.5 x 10 9 /L
Monocytes 0.7 x 10 9 /L
Eosinophils 0.3 x 10 9 /L
Na 120 mmol/L
K 4.0 mmol/L
Urea 3.0 mmol/L
Serum creatinine 75 mmol/L
Your initial management of this patient would be:
a)
Low carbohydrate diet
b)
High protein diet
c)
Infusion of haem arginate in dilute albumin solution through a
peripheral vein
d)
Infusion of haem arginate through a central vein
e)
Infusion of tin porphyrin
