Hospital discharge of a 75-year-old man is delayed due to unavailability of a bed in a nursing home. He is bedridden and unable to attend to his personal needs. During a 3-day period, his pulse increases from 82/min to 125/min, and blood pressure decreases from 124/72 mm Hg to 100/55 mm Hg. Laboratory values include:

Day 1 Day 3
Hemoglobin 16.4 g/dL 18.4 g/dL
Serum
Urea nitrogen 18 mg/dL 56 mg/dL
Glucose 100 mg/dL 89 mg/dL
Na+ 135 mEq/L 151 mEq/L
Creatinine 1.1 mg/dL 1.2 mg/dL

Which of the following is the most likely diagnosis? A) Acute renal failure, B) Dehydration, C) Gastrointestinal hemorrhage, D) Syndrome of inappropriate ADH
(vasopressin)

Acute renal Failure..........I hate cases.....I think it is more about guessing than medicine..........

acute reanal failure .....
keep it on SUFYAN

ali

Sorry guys ,
u were tricked as I was tricked , it is dehydration not acute renal failure

HI Nabeel,
I don't agree with u , cases made u think instead of just memorizing (احسن من السج)

Dear Ali , do you find my cases long or it's ok like that

it's sure tricky,

and surely not SUFYAN there are very wonderful keep it on

ali