This is a case of a 27-year-old male with quadriplegia due to a history of traumatic brain injury. The patient experienced chronic respiratory failure on home ventilator support and was presented with complaints of dyspnea and lack of bowel movements for three days. The patient was receiving his daily nutritional requirements via a PEG tube. The patient was observed to be hypotensive on arrival at the hospital. However, there were no signs of acute or ongoing blood loss.
Initial lab data revealed that the patient was hyperkalemic and was suffering from severe anemia, leukopenia, and neutropenia. Ferritin and triglyceride levels were much higher than normal. The patient was on zinc supplementation as a part of his wound care regimen. The copper levels were <10 ug/dL (normal: 70-140 ug/dL). Source : Cureus This Clinical Case Challenge is from the editorial team of Docplexus and is meant…
