Check This One, a good case

[sufyan]

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)

[nabeelraad]

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

[ali al-kafaji]

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

ali

[sufyan]

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

[sufyan]

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

[ali al-kafaji]

it's sure tricky,

and surely not SUFYAN there are very wonderful keep it on

ali