Mukund

Coronary artery disease complicated by an NSTEMI in 2017 that he had two stents placed for.

The records are unclear about where.

He has permanent AFib on Xarelto.

Barrett's esophagus on a PPI.

JAK2 mutation positive chronic thrombocytosis and chronic kidney disease stage 3.

That's the first aliquot.

Yeah, that was a really great discussion.

I think you did a good job highlighting how wide open this case was when I first met him.

I'll give you some more data, starting with the physical exam, which was notable for irregularly irregular heartbeat without murmurs by basilar crackles, a distended abdomen with mild generalized tenderness and one to two plus pitting edema in the extremities.

My exam is personally not very sensitive for things like shifting dullness.

I'm sure that could have been done by a more experienced practitioner.

Some basic labs started to come in as well.

And these are from the time of his admission.

He has a CBC notable for 33,000 whites in a neutrophilic distribution.

He has a hemoglobin of 13.5 at his baseline and platelets of 1,224, which notably is up from his outpatient baseline of about 6,000 to 800,000.

His BMP is notable for creatinine of 1.2 with an unclear baseline, a BUN of 28.

Otherwise, his lights and glucose are normal.

His LFDs are notable for an AST of 28 and ALT of 12.

Total protein of 6.2, albumin of 3.1, total bilirubin of 3.0, and direct bilirubin of 1.5.

His ALK-FOS is 1 of 7.