* Clinical Quiz? A 68 -year- old man with a 100 pack/year smoking history is admitted to the ICU with hypotension. He has a 2-month history of weight loss and fatigue and a 3-day history of anorexia and polyuria. On admission, his temperature is 37°C, BP is 90/50 mm Hg, HR is 43/min, and RR is 18/min. The patient is lethargic but has no focal neurologic deficits. Initial lab. results are as follows: sodium: 148 mEq/L; potassium: 4.2 mEq/L; chloride: 110 mEq/L; carbon dioxide: 28 mEq/L; BUN: 35 mg/dL; creatinine: 2.1 mg/dL; and glucose: 120 mg/dL. The admission ECG and CXR are shown below. Q1: Whats the most likely diagnosis? Q2: If you are going to give IV 0.45 saline solution, which the next treatment will most likely benefit this patient?
Posted on: Mon, 10 Nov 2014 16:20:03 +0000
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