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James Sidas

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The screen for other toxins was also negative. Dr. Chase thought it was [[liver]] failure from [[alcohol]]. Dr. House ordered Dr. Taub and Dr. Hadley to do a liver [[biopsy]] even though they were about to leave for Thanksgiving.{{Dialogue a-b-a|Thirteen|Renal failure. Explains the anemia. If he developed hyperkalemia, that would explain the ataxia. But the stroke?|Taub|Ischemic encephalopathy.|Nice. Except now we have to stay and test his kidneys. |Thirteen ruins the rest of Thanksgiving}}
 
The screen for other toxins was also negative. Dr. Chase thought it was [[liver]] failure from [[alcohol]]. Dr. House ordered Dr. Taub and Dr. Hadley to do a liver [[biopsy]] even though they were about to leave for Thanksgiving.{{Dialogue a-b-a|Thirteen|Renal failure. Explains the anemia. If he developed hyperkalemia, that would explain the ataxia. But the stroke?|Taub|Ischemic encephalopathy.|Nice. Except now we have to stay and test his kidneys. |Thirteen ruins the rest of Thanksgiving}}
   
Sidas denied being an alcoholic, but his wife was surprised he drank at all. Dr. Taub performed the biopsy, but Sidas thought it was a waste of time. However, the results showed no [[cirrhosis]], [[scar]]ring or [[infection]]. The [[blood tests]] showed only one abnormal result, an [[albumen]] level of 7.2. That could be explained by [[kidney]] failure. It would also explain the anemia and if he developed [[hyperkalemia]] it would explain the ataxia. The stroke could be explained by [[Cerebral hypoxia|ischemic encepalopathy]]. However, they realized they would have to stay to test his kidneys.
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Sidas denied being an alcoholic, but his wife was surprised he drank at all. Dr. Taub performed the biopsy, but Sidas thought it was a waste of time. However, the results showed no [[cirrhosis]], [[scar]]ring or [[infection]]. The [[blood tests]] showed only one abnormal result, an [[albumen]] level of 7.2. That could be explained by [[kidney]] failure. It would also explain the anemia and if he developed [[hyperkalemia]] it would explain the ataxia. The stroke could be explained by [[ischemic encepalopathy]]. However, they realized they would have to stay to test his kidneys.
   
 
Dr. House was away the following day so Dr. Foreman started the new differential for kidney failure. Dr. Hadley thought it might be [[rhabdomyolysis]], but there was no [[edema]]. Dr. Chase thought it might be multiple [[myeloma]], but there was no [[bone]] [[pain]]. He then suggested [[polycystic kidney disease]], but there were no [[Urinary tract infection|UTIs]] or flank pain. Dr. Chase started thinking about the cough the patient had at admission. Dr. Hadley said the patient wasn't coughing now, but Dr. Chase had also found cough syrup. Dr. Taub thought it might be [[Goodpasture's syndrome]], which would affect the kidneys and [[lungs]]. Dr. Foreman wanted to start him on [[immunosuppressants]] and [[dialysis]]. Dr. Hadley wanted to check with Dr. House, but as the rest of the team was in agreement, they decided that it wasn't necessary.
 
Dr. House was away the following day so Dr. Foreman started the new differential for kidney failure. Dr. Hadley thought it might be [[rhabdomyolysis]], but there was no [[edema]]. Dr. Chase thought it might be multiple [[myeloma]], but there was no [[bone]] [[pain]]. He then suggested [[polycystic kidney disease]], but there were no [[Urinary tract infection|UTIs]] or flank pain. Dr. Chase started thinking about the cough the patient had at admission. Dr. Hadley said the patient wasn't coughing now, but Dr. Chase had also found cough syrup. Dr. Taub thought it might be [[Goodpasture's syndrome]], which would affect the kidneys and [[lungs]]. Dr. Foreman wanted to start him on [[immunosuppressants]] and [[dialysis]]. Dr. Hadley wanted to check with Dr. House, but as the rest of the team was in agreement, they decided that it wasn't necessary.
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