ChoiceHub
Sign in
An 82-year-old woman is admitted overnight with a fractured neck of femur after a fall at home. She has had no chest pain, breathlessness or palpitations. Preoperative bloods show a high-sensitivity cardiac troponin I of 68 ng/L (less than 16) and creatinine 152 micromol/L; the troponin is 70 ng/L when repeated two hours later. A result filed 14 months ago, taken when she had a urinary tract infection, was 65 ng/L. Her electrocardiogram shows sinus rhythm with no ST segment or T wave changes. Which one of the following terms best describes this troponin result?
Shared by Mornienniche

Keep going — a set of ten like this one, one at a time.

Practise more

More from Acute Care

See all

A 7-year-old boy is ready to leave a Perth emergency department six hours after a moderate asthma flare-up. He has had salbutamol by spacer and a first dose of…

Clinical rotations · middle twist

A 78-year-old woman is being discharged after an admission with melaena. She takes apixaban for atrial fibrillation. Gastroscopy showed a bleeding duodenal ulce…

Clinical rotations · middle twist

You are the intern on a Perth surgical ward. Overnight a 74-year-old woman received ten times the intended dose of insulin because of a prescribing error you ma…

Pre-internship · middle twist

An 81-year-old man had a large left middle cerebral artery infarct ten days ago. He cannot swallow safely and can neither understand nor communicate a decision.…

Pre-internship · middle twist

A 62-year-old Aboriginal woman from a remote Kimberley community is admitted to a Broome hospital with small bowel obstruction and listed for laparotomy on tomo…

Pre-internship · middle twist