CRF Complication; Next Step? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 04-15-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 585 Times in 354 Posts
Reputation: 595
Kidney CRF Complication; Next Step?

47-year-old man with a history of chronic progressive renal failure presents to the emergency department with weakness and lethargy of 3 daysí duration. On examination, blood pressure is 90/60 mm Hg with a heart rate of 62 beats/minute, and jugular venous pressure is elevated. Cardiac auscultation reveals a harsh systolic-diastolic sound with faint first and second heart sounds. The lungs are clear except for a few basal rales, and there is 1+ pedal edema. The patient is given 1 L of intravenous saline but remains hypotensive. The laboratory profile shows serum sodium of 132 mEq/L, potassium of 5.1mEq/L, chloride of 95 mEq/L, bicarbonate of 15 mEq/L, blood urea nitrogen of 98 mg/dL, and serum creatinine of 10.2 mg/dL. The hemoglobin is 9.5 g/dL, and the white blood cell count is 8700/mm3. Which of the following is the most effective way to manage this patientís condition?

A. Blood transfusion
B. Diuretics and digoxin
C. Immediate hemodialysis
D. Pericardiocentesis
Reply With Quote Quick reply to this message



  #2  
Old 04-15-2012
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 239
Threads: 3
Thanked 48 Times in 37 Posts
Reputation: 58
Default

C. Immediate hemodialysis
__________________
I'm Predictable In The Unpredictable Future !
Reply With Quote Quick reply to this message
  #3  
Old 04-15-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 585 Times in 354 Posts
Reputation: 595
Default

Quote:
Originally Posted by dryogi View Post
C. Immediate hemodialysis
whats the expln...if u think pericarditis...may i know why...
Reply With Quote Quick reply to this message
  #4  
Old 04-15-2012
Ace3's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 735
Threads: 89
Thanked 286 Times in 191 Posts
Reputation: 298
Default

i think answer is C.Immediate hemodialysis...Pericarditis is one of the indication of hemodialysis
Reply With Quote Quick reply to this message



Reply

Tags
Internal-Medicine-, Nephrology-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Cirrhosis complication next step...confusing tyagee USMLE Step 2 CK Forum 3 03-26-2012 12:03 PM
Complication of Cardiac Transplantation! indigo USMLE Step 1 Forum 3 12-22-2011 07:37 AM
What is the most common complication of BPH? dr.muhamad USMLE Step 1 Forum 3 11-04-2011 10:08 AM
most likely complication Ace3 USMLE Step 2 CK Forum 3 07-04-2011 05:20 AM
Complication of D & C step1an USMLE Step 1 Forum 11 09-06-2010 08:18 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)