11-20-2011, 08:47 PM
. A 54-year-old man with chronic obstructive
pulmonary disease
undergoes a total hip arthroplasty for avascular
necrosis of the femoral
head. On the second postoperative day, he has
diffuse, profound
weakness and vomiting. His blood pressure is 85/50 mm
Hg, and pulse is
100/min. The operative site is clean and dry, with
minimal output from the
drains. Hemoglobin level is 13.8 g/dL, serum sodium
level is 132 mEq/L,
and serum potassium level is 5.8 mEq/L. Which of the
following is most
likely to confirm the diagnosis?
A
) Measurement of serum thyroid-stimulating hormone
level
B
) Direct antiglobulin (Coombs') test
C
) ACTH stimulation test
D
) Ventilation-perfusion lung scans
E
) Echocardiography
pulmonary disease
undergoes a total hip arthroplasty for avascular
necrosis of the femoral
head. On the second postoperative day, he has
diffuse, profound
weakness and vomiting. His blood pressure is 85/50 mm
Hg, and pulse is
100/min. The operative site is clean and dry, with
minimal output from the
drains. Hemoglobin level is 13.8 g/dL, serum sodium
level is 132 mEq/L,
and serum potassium level is 5.8 mEq/L. Which of the
following is most
likely to confirm the diagnosis?
A
) Measurement of serum thyroid-stimulating hormone
level
B
) Direct antiglobulin (Coombs') test
C
) ACTH stimulation test
D
) Ventilation-perfusion lung scans
E
) Echocardiography