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August 2009, Volume 39 Number 8 , p 31 - 33


  • Theresa J. Inott


FORTY-EIGHT HOURS AFTER UNDERGOING transurethral resection of the prostate (TURP), Peter Althouse, 58, develops nausea and intermittent vomiting, followed by chills, dizziness, and tremors. He's anxious and irritable.

Concerned that Mr. Althouse is exhibiting signs and symptoms of a serious postoperative complication, you obtain blood specimens and send them to the lab. His complete metabolic profile and complete blood cell count are within normal limits, and additional diagnostic testing rules out a bacterial infection or respiratory complication.

Mr. Althouse has no history of alcohol or ...

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