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 109909

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: 109909 (M2.RL.17.4872)
In scope icon M 6 C
QID 109909 (Type "109909" in App Search)
A 42-year-old man presents to his primary care physician for a wellness checkup. The patient has a medical history of obesity, constipation, and depression. His current medications include metformin, lactulose, and fluoxetine. His temperature is 99.5°F (37.5°C), blood pressure is 157/102 mmHg, pulse is 90/min, respirations are 17/min, and oxygen saturation is 98% on room air. Laboratory values are ordered as seen below.

Hemoglobin: 12 g/dL
Hematocrit: 36%
Leukocyte count: 5,500/mm^3 with normal differential
Platelet count: 190,000/mm^3

Serum:
Na+: 139 mEq/L
Cl-: 105 mEq/L
K+: 3.5 mEq/L
HCO3-: 15 mEq/L
BUN: 20 mg/dL
Glucose: 129 mg/dL
Creatinine: 1.1 mg/dL
AST: 12 U/L
ALT: 10 U/L

Urine:
Appearance: Yellow
Bacteria: Absent
Red blood cells: 0/hpf
pH: 2.7
Nitrite: Absent

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