the agony and the ecstasy

[u/Weirdisntweird]

Case 1.
66-year-old mother of local politician
Routine labs
Creatine 6.6
Hemoglobin 6.3
Normal vitals
Negative fecal occult.
What could it be?
Sad ending.

Case 2.
91 year-old woman.
BIBA for weakness from nursing home
55 pounds
Normal height
Absolutely no history to be found on epic or elsewhere.
Initially hypotensive but responding to fluids.
Stone cold normal labs.
Spend an hour with the family having a goals of care discussion. They had initially wanted her to be admitted and transferred to a different nursing facility.
They chose hospice..
Happy ending.

[u/theenterprise9876]

If I’m ever 91 years old and weigh 55 lbs and my family doesn’t choose hospice for me, I will haunt them forever

[u/USCDiver5152]

1 multiple myeloma

2 strong work going the extra mile to have a tough discussion.

[u/LoudMouthPigs → u/USCDiver5152]

Nice dx with 1, though I wanna see a Ca and a protein/alb

[u/gym_rat_101 → u/USCDiver5152]

Same

[u/GlazeyDays]

I’m getting “AI trying to pronounce WWE vibes”.

[u/zilmc]

55 pounds?!?!

[u/Weirdisntweird → u/zilmc]

I just rechecked the chart. She was 75 back in April. Confirmed 53 pounds by bedscale. I was 2 pounds off!

[u/MisChef → u/Weirdisntweird]

Poor thing. Was she 3 ft tall or something?

[u/Leading_Blacksmith70 → u/zilmc]

Had to read that a few times

[u/SocialWinker → u/zilmc]

Totally thought OP meant kilos at first. After rereading a few times, I figured out I need more coffee.

[u/Sandvik95]

Case 1: ESRD with associate anemia? (Such little info presented 🧐).