03-17-2006, 12:25 PM
65yr old woman is to ER b/c lethargy and confusion for 24hr. No fall or injure recently.
Medications include: amitriptyline (150mg bedtime) for major depression, diphenhydramine for the past week (50mg 3 times/day) for pruritic rash. Pulse 100/min and regular, and BP 135/80mmHg.
Physical exam shows a palpable mass in the midline extending 5cm upward from the pubic symphysis. Serum BUN 45 mg/dL, serum creatinine 2.8 mg/dL. What is it?
A)Acute tubular necrosis
B)Bilateral renal artery stenosis
C)Bilateral ureteral obstruction just distal to the renal pelvis
D)Bilateral ureteral obstruction proximal to the bladder
E)Constrictive pericarditis
F Decreased ability to empty the bladder
G)Interstitial nephritis
Medications include: amitriptyline (150mg bedtime) for major depression, diphenhydramine for the past week (50mg 3 times/day) for pruritic rash. Pulse 100/min and regular, and BP 135/80mmHg.
Physical exam shows a palpable mass in the midline extending 5cm upward from the pubic symphysis. Serum BUN 45 mg/dL, serum creatinine 2.8 mg/dL. What is it?
A)Acute tubular necrosis
B)Bilateral renal artery stenosis
C)Bilateral ureteral obstruction just distal to the renal pelvis
D)Bilateral ureteral obstruction proximal to the bladder
E)Constrictive pericarditis
F Decreased ability to empty the bladder
G)Interstitial nephritis