Titlebook: Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation; Edgar V. Lerma,Mitchell Rosner Book 2013 Springer Science+Busin

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https://doi.org/10.1007/978-1-349-03744-5Mrs. P is a 62-year-old African-American female with type II diabetes mellitus. She weighs 78 kg, and has previously had an above-knee amputation of the right leg. She is being seen in clinic for an annual examination, and inquires about her kidney function.

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Nineteenth-Century Major Lives and LettersA 32-year-old thin woman is complaining of weakness and light-headedness. She denies vomiting and intake of medications except vitamins. On physical examination she has a blood pressure of 100/60 mmHg with a heart rate of 95 beats/min and diminished skin turgor. The remainder of her exam is unremarkable. Laboratory data are shown in Table 13.1.

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Potassium DisordersA 25-year-old otherwise healthy female with history of chronic constipation is found to have chronic hypokalemia. She denies any other gastrointestinal symptoms including nausea, vomiting, or diarrhea. She denies taking any medications. Family history is unremarkable as is her physical examination. Her BMI is 29. Lab results show:

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Erythropoietin

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https://doi.org/10.1007/978-1-349-03744-5 has had decreased urine volume and dark colored urine. He has no past medical history and takes no medications. Blood pressure is 145/85 mmHg. Pulse is 110 beats per minute. Temperature is 36.8 °C. Pulse oximetry is 87 % on room air. He is anxious and slightly pale. Pulmonary exam reveals bibasilar

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https://doi.org/10.1007/978-1-349-23118-8e output and increased serum creatinine 1 day after undergoing a right hemicolectomy for colon cancer. The patient is in the intensive care unit and his blood pressure is 120/80 mmHg. His urine output for the last 24 h was 250 mL despite receiving 4 L of intravenous fluids. He is alert and oriented.