jb00727
Forum Elite
Topics: 82
Posts: 190
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A 50-year-old obese female is taking oral hypoglycemic agents. While being treated for an upper respiratory infection, she develops lethargy and is brought to the emergency room. On physical exam, there is no focal neurologic finding or neck rigidity. Laboratory results are as follows:
Na+ 134 meq/L
K+ 4.0 meq/L
HCo3 25 meq/L
glucose 900 mg/dL
BUN 84 mg/dL
Creatinine 3.0 mg/dL
BP 120/80 sitting
BP 105/65 lying
The most likely cause of this patients coma is
a. Diabetic ketoacidosis
b. Hyperosmolar coma
c. Inappropriate ADH
d. Bacterial meningitis
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| tamriko
Forum Elite
Topics: 23
Posts: 296
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C ?
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| jb00727
Forum Elite
Topics: 82
Posts: 190
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sorry.........think again
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| tamriko
Forum Elite
Topics: 23
Posts: 296
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B? :oops:
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| jb00727
Forum Elite
Topics: 82
Posts: 190
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u got it this time
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| zaki
Forum Guru
Topics: 92
Posts: 398
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hyperosmolar coma is the right answer, dka can be rule out by normal bicarb level, but no ph values are given
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Maverick
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| zaki
Forum Guru
Topics: 92
Posts: 398
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strange thing in qs is that bp on sitting is more than bp on lying
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Maverick
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