DrVirgo
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A seriously ill AIDS patient is admitted to the hospital. He has multiple infections, including PCP, pulmonary CMV, and candidiasis of the esophagus and possibly other sites. Screening chem studies are drawn, including electrolytes. Which of teh following abnormalities would be most likely seen in this setting?
A. Hyperkalemia
B. Hypermagnesemia
C. Hypocalcemia
D. Hyponatremia
E. Hypophosphatemia
WHY? Expain the reasons.
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| CocaCola
Forum Guru
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d. hyponatremia
infections of the lung commonly presents with metabolic alterations most commonly hyponatremia
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| prathapdoctor
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Yes, hyponatremia because infections(especially lung infections) stimulate the secretion of ADH.
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| DrVirgo
Forum Hero
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D is correct.
some HIV drugs impair renal water excretion
Hypotonic fluids which are administered during therapy can also impair renal function
CMV or mycobacteria can cause destructive adrenalitis
Ketoconazole can impair adrenal glucocorticoid an dmineralocorticoid synthesis.
Pulm and CNS infections can cause SIADH
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