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Review Question - QID 216351

Herpes Simplex Treatment Medical QID: 216351 (M2.OMB.77)
In scope icon M 11
QID 216351 (Type "216351" in App Search)
A 65-year-old man is brought to the emergency department by his wife due to lethargy following 3 days of nausea, vomiting, and diarrhea. His past medical history is significant for hypertension and hypercholesterolemia controlled with hydrochlorothiazide and atorvastatin. His temperature is 100.1°F (37.8°C), blood pressure is 90/50 mmHg, pulse is 110/min, and respirations are 18/min. Physical exam shows dry mucous membranes and the finding in Figure A, which his wife believes is contributing to his poor oral intake. Basic lab tests are performed with the following results:

Serum:
Na+: 138 mEq/L
Cl-: 94 mEq/L
BUN: 80 mg/dL
Creatinine: 1.7 mg/dL

Which of the following is the most appropriate next step in management?
  • A
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  • A