Over a period of several months, a patient has developed hyperpigmentation, hyperkalemia and a tendency for the blood glucose concentration to decrease between meals. She is hypotensive. The patient most likely has which of the following?
Read DetailsA 35-year-old man presents with hypertension. He has protuberant abdomen with purple striations and increase deposition of fat posterior to neck “buffalo hump”. His face is round and puffy. What is the most common cause of patient’s condition?
Read DetailsA 70-year-old male is found lethargic at home with a blood pressure of 98/60 and temperature of 98F.Labs: Na=138 mEq/L, K= 2.8 mEq/L, HCO3=10 mEq/L, Cl=117 mEq/L, Creatinine= 1.0 mg/dL, BUN=20 mg/dL, Ca= 10 mg/dL, PO2=80, PCO2= 25 and pH= 7.29. Urine pH=4.5 What is the acid base disorder?
Read DetailsA 35-year-old woman admitted to the labor and delivery suite at 4 am. Her amniotic membranes ruptured approximately 6 hours earlier, but her contractions have decreased from one every 3 min to one every 5 to 7 minutes. She is primipara. On physical examination, she has a blood pressure of 140/85 mmHg, pulse of 100 bmp and a sinus tachycardia rhythm. Her temperature is 98.6° F. Labs shows serum glucose 135 mg/dL, BUN 10 mg/dL, creatinine 0.4 mg/dL, Crit 38% , HbA1c of 6. The fetal heart rate is 120 bpm. The cervix is dilated to 3 cm. According to her previous records, she is at 41 weeks’ gestation, and she has gestational diabetes. If the physician wants to increase the rate and strength of uterine contraction, which of the following would be given to the woman?
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