Tiff
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Laboratory studies of a patient's blood show a pH of 7.5 and a serum bicarbonate level of 31 mq/L. Which of the following is the most likely diagnosis for this patient?
A. Adrenal adenoma
B. Chronic Bronchitits
C. Diabetes mellitus, type 1
D. Diarrhea
E. Septicemia
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| arlete
Intern in 2009!!!!!
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D
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| new_n_lost
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@ Tiff
wait before u post ur answer lets us all get thru them ok so that we can all discuss them
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| jean robert
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A (Conn syndrome)??
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| SURVIVOR
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A
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| silver
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diarrhea
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| new_n_lost
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ok pH =7.5 and HCO3= 31mEq/l this is definitely metabolic alkalosis.
Now Diarrea gives inc.AG metabolic acidosis.
Only vomiting gives you Metabolic Alkalosis. This in no way looks like a mixed disorder soi will go with
A Adrenal Adenoma as the MCC of Metabolic alkalosis is Vomiting, Thiazide excess and Mineralocorticoid excess.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| arlete
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Makes a lot of sense, nnl!
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| Tiff
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Yeah - It sure does make sense...and "A" is correct. - Adrenal adenoma
The patient most likely has a mineralocorticoid-secreting adenoma, which results in mineralcorticoid excess in the body. Excess mineralocorticoids stimulate the secretion of renal hydrogen ions, which enhances bicarbonate reabsorption.
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| mediocre
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".... Diarrea gives inc.AG metabolic acidosis. .."
Diarrhea gives Normal anion gap Met Acidosis
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