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7 Posts

dr_jojo

03/08/07 - 09:17 AM

A 72-year-old man comes to the physician because of a 2-month history of urination twice nightly and occasional urinary frequency and urgency. He has a 15-year history of type 2 diabetes mellitus now moderately well controlled with glyburide. His father was diagnosed with prostate cancer at the age of 70 years, and his sister died of complications from systemic lupus erythematosus. His blood pressure is 135/86 mm Hg. Cardiopulmonary examination shows no abnormalities. Abdominal examination shows no suprapubic fullness or tenderness. There is mild enlargement of the prostate with no palpable nodules. His postvoid residual volume is 10 mL. Serum studies show a urea nitrogen (BUN) level of 45 mg/dL and creatinine level of 3.8 mg/dL. Urine dipstick shows 3+ protein. Which of the following is most likely to have prevented progression of this patient's renal disease?

A
) Intermittent Foley catheterization

B
) Intravenous mannitol therapy

C
) Oral cyclophosphamide and prednisone therapy

D
) Oral enalapril therapy

E
) Oral finasteride therapy

F
) Oral prednisone therapy only

G
) Oral terazosin therapy

Adam
Forum Senior
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03/08/07 - 09:30 AM

D) Oral enalapril therapy

ACEI slow the rate of deterioration in diabetic nephropathy..

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Aashi
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03/08/07 - 09:31 AM

D) Oral enalapril therapy

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92306
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03/08/07 - 09:44 AM

D) Oral enalapril therapy

robin082006
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03/08/07 - 10:27 AM

D) Oral enalapril therapy

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dr_jojo

03/08/07 - 12:15 PM

thanx

dr in trouble
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Topics: 62
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03/08/07 - 04:00 PM

I thought about enalapril but isnt it true that if serum creatinine level is more than 3-3.5 we dont use ACE inhibitors??

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