NB F3 S2 Rationale in Edema

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 1 Forum » Pathology Forum

NB F3 S2 Rationale in Edema

Author

5 Posts

nadiabarati

06/11/06 - 06:42 AM

Which of the following is the rationale for advising a decrease in dietary intake of sodium chloride in patients with hepatic disease who develop edema?

A. Edema fluid has a high concentration of Cl-
B. Glomerular filtration rate is increased
C. Injured hepatocytes are more permeable to Na+
D. Secondary hyperaldosteronism is present
E. Serum globulin concentration is increased

Diego Casali
Forum Elite
avatar

Topics: 7
Posts: 234

06/11/06 - 07:38 AM

nadiabarati

06/11/06 - 08:37 AM

secondary hyperaldostronism?!!!! secondary to what? to edema!!! that should supress aldostrone

alexaE
Forum Elite
avatar

Topics: 23
Posts: 334

06/11/06 - 09:40 AM

secondary hyperaldosteronism because of the blood sequestration on the venous side - just like it happens with CHF. so the effective arterial blood volume is low hence the aldosterone is increased despite the presence of edema

___________________
veni vidi...vincam

robin082006
Forum Hero
avatar

Topics: 471
Posts: 5,125

06/11/06 - 09:42 AM

D

___________________
The Key to Succeed is Patience.

You don't have permission to post.