You are working in the Neurology ICU. Your patient is a 45 year old male who had a large meningioma resection 4 days ago. He remains intubated due to cerebral edema. NG tube is present. BMP: Na+ 160, K+ 3.8, BUN 25, Cr 1.3, Ca+ 8.1, Mg+ 1.8. What is the preferred treatment of his hypernatremia?
Read DetailsA 56 y/o woman presents to the emergency deparment with complaints of a few episodes of vaginal bleeding over the past 3 months. She reports the bleeding is usually small amounts. She also reports that she is postmenopausal and is currently on low-dose estrogen and progesterone replacement hormone therapy for her severe vasomotor symptoms. She denies any symptoms of abdominal pain or cramping. Which of the following is the next best step to further evaluate the patient’s symptoms?
Read DetailsA 64-year-old male presents with nocturia and urinary frequency with some hesitancy early in the mornings. He reports symptoms have been progressive over the past several months. He does not recall having any hematuria. He denies fever, chills, abdominal pain, rectal pain, or dysuria. What PSA finding is of concern for his age?
Read DetailsA 65 year old male with metastatic non-small cell lung cancer is admitted to the hospital with complaints of lethargy, muscle weakness, and nausea. BMP: Na+ 130, K+ 3.5, BUN 25, Cr 1.1, Ca+ 13.9, Mg+ 1.7. What is the treatment of electrolyte issue?
Read DetailsA 52 y/o female presents to the Emergency Department with complaints of vomiting and diarrhea for 3 days and has been unable to tolerate PO fluids. Vital signs: heart rate 120 bpm, blood pressure 98/54, O2 sats 96% on room air, respiratory rate 28. The patient also reports muscle cramps and weakness since symptoms began. Laboratory data: Na+ 132, K+ 2.9, Mg+ 1.7, Ca+ 8.0 What is the treatment of choice for this patient?
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