By Alluru S. Reddi
Written in a succinct query and solution layout, this complete source covers all components of nephrology and customary medical eventualities. approximately a thousand questions with particular solutions offer nephrology fellows, working towards nephrologists and clinicians a greater knowing of nephrology and relief arrangements for nephrology and inner medication forums. Absolute Nephrology evaluation good points the most recent proof and guidance whereas pleasurable a serious desire in the nephrology community.
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Additional resources for Absolute Nephrology Review: An Essential Q & A Study Guide
New York, Springer, 2014, pp. 133–150. 34. A 1-week-old boy was brought to the Emergency Department for irritability, polyuria, vomiting milk soon after ingestion, dehydration, hypernatremia, and hyperthermia. The patient responds adequately to volume replacement. Which one of the following statements regarding this infant is FALSE? A. The clinical presentation is consistent with the diagnosis of X-linked nephrogenic diabetes insipidus (NDI) B. X-linked NDI is due to loss-of-function mutation in vasopressin V2 receptor (AVPR2) C.
He also had elevated serum Ca2+ 10 years ago when he was admitted to hospital for cough and sputum production. Which one of the following is the MOST likely diagnosis in this subject? A. B. C. D. E. Primary hyperparathyroidism (PHPT) Secondary hyperparathyroidism Familial hypocalciuric hypercalcemia (FHH) Milk (calcium)-alkali syndrome Subclinical granulomatous disease The answer is C The laboratory findings are consistent with asymptomatic PHPT and FHH. The distinction between PHPT and FHH in adults can be difficult.
Therefore, pyroglutamic acidosis is ruled out. Based on the surgical history, high carbohydrate intake, and neurologic manifestations, the most likely diagnosis is D-lactic acidosis. Thus, option C is correct. Suggested Reading Reddi AS. High anion gap metabolic acidosis. In Reddi AS. Fluid, Electrolyte, and Acid-Base Disorders. Clinical Evaluation and Management. New York, Springer, 2014, pp. 319–346. 62. A 17-year-old female student is admitted for confusion and acute kidney injury. She is able to give some history that she had a fight with her boy friend 2 days ago, and she drank some liquid that was in their garage.