Lim
Forum Elite
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An 87-year-old Caucasian female with multiinfart dementia, who lives at local nursing home, is brought to the ER for evaluation of altered mental status. They deny any history of new symptoms. She has multiple medical problems including HTN, stroke, CAD, severe degenerative joint desease, chronic atrial fibrillation, constipation, and urinary incontinence. Her medications include aspirin acetaminophen, atenolol, nitroglycerine, multivitamins, pravastitan, docusate, senna, digoxin, and glucosamine, Her vital signs are BP 110/70 mmHg PR 98/min RR 16/min and temp 36/1C(97F). On examination, she has dry mucus membranes and skin turgor is decreased. There are no new focal neurologic deficits. Which of the following is most likely to be present in this patient?
A. Hyponatremia
B. Hypokalemia
C. Hypernatremia
D. Hyperkalemia
E. Anion gap acidosis
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| chemamr
Moderator and PGY2
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C?
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| cool doctor
Forum Junior
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she is dehydrated so I think the answer is C
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| drdg
Forum Senior
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C
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| darkhorse
Forum Elite
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C.
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| Lim
Forum Elite
Topics: 62
Posts: 210
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nice. it's C.
The follow list shows some of the possible medical causes of Hypokalemia that are listed by the Diseases Database:
Hydroflumethiazide
Glucocorticoid receptor defect
Arsenic trioxide
Hypokalaemic periodic paralysis, thyrotoxic
Calcium resonium
Ureterosigmoidostomy
Caspofungin
Indapamide
Bulimia nervosa
Bumetanide
Refeeding syndrome
Hydrochlorothiazide
Prednisolone
Diarrhoea
Methyclothiazide
VIPoma
Amphotericin B
Conn's syndrome
Cyclopenthiazide
Clopamide
Organophosphates
Cetuximab
Amikacin
Anorexia nervosa
Kanamycin
Glycyrrhizic acid
Glucocorticoid-suppressible hyperaldosteronism
Colonic villous adenomata
Proximal renal tubular acidosis
Trichlormethiazide
Alkalosis, metabolic
Hypomagnesemia
Laxative abuse
Gitelman syndrome
Chlorothiazide
Netilmicin
Phenolphthalein
Gentamicin
Acute myeloid leukemia
Gastric fistula
Insulin
Diabetic ketoacidosis
Reproterol
Chloridorrhea, hereditary
Aminophylline
Sodium polystyrene sulfonate
Salbutamol
Para-amino salicylic acid
Imatinib mesylate
Bartter's syndrome
Liddle syndrome
Bendrofluazide
Etacrynic acid
SIADH
Chlortalidone
Hypokalaemic distal renal tubular acidosis
Voriconazole
Cascara sagrada
Tacrolimus
Metolazone
Nausea and vomiting
Polythiazide
Fistula of intestine
Cortisol 11-beta-ketoreductase deficiency
Furosemide
Intravenous infusion
Hypokalaemic periodic paralysis (primary)
Carbenoxolone
Ritodrine
Drip arm sample
Pyelonephritis, chronic
Hyperaldosteronism
Cushing's syndrome
Lithium
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