Mr. Hernandez is a 78-year-old man with a history of hyperte…
Mr. Hernandez is a 78-year-old man with a history of hypertension who presents for his routine follow-up. He is moderately built and reports that he feels well. His physical exam is unremarkable. Recent labs show a serum creatinine of 1.3 mg/dL, which is slightly above the reference range. His creatinine was 1.0 mg/dL one year ago. Which of the following best explains the clinical significance of this finding in an older adult?
Read DetailsA 49-year-old woman presents with new-onset urinary retentio…
A 49-year-old woman presents with new-onset urinary retention, fecal incontinence, saddle anesthesia, and progressive bilateral lower extremity weakness. On exam, she has decreased anal sphincter tone and diminished patellar reflexes. What is the most appropriate next step in management?
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