MB 2/3
BULLETS
Free CME
Join now
Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Review Question - QID 109763

Renal Tubular Acidosis (RTA) Introduction Renal Tubular Acidosis Type Etiology Pathogenesis Treatment Comments Type II (proximal) Fanconi syndrome Carbonic anhydrase II deficiency Medications acetazolamide ifosfamide topiramate Heavy metals e.g., mercury, cadmium, copper, and QID: 109763 (M2.RL.17.4869)
In scope icon M 7 D
QID 109763 (Type "109763" in App Search)
A 56-year-old woman presents to the emergency department with muscle weakness. Her symptoms have progressively worsened over the course of 2 weeks and are most significant in her lower extremities. She also notices increased urinary frequency. Approximately 1 month ago, she was diagnosed with calcium phosphate nephrolithiasis. Medical history is significant for rheumatoid arthritis diagnosed approximately 10 years ago and treated with methotrexate as well as type 2 diabetes mellitus treated with metformin. Her temperature is 98.6°F (37°C), blood pressure is 138/92 mmHg, pulse is 92/min, and respirations are 17/min. On physical exam, there is mild tenderness to palpation of the metacarpophalangeal and proximal interphalangeal joints. There is 4/5 power throughout the lower extremity. Laboratory testing is shown.

Serum:
Na+: 137 mEq/L
Cl-: 106 mEq/L
K+: 2.9 mEq/L
HCO3-: 18 mEq/L
Glucose: 115 mg/dL
Creatinine: 1.0 mg/dL
Urine pH: 5.6

Which of the following is the most appropriate next step in management?
Type in at least one full word to see suggestions list