06-14-2010, 07:09 AM
A 48-yo woman is hospitalized for elective knee surgery. Routine preoperative lab
evaluation reveals the following:
Serum electrolytes: Na+:138; K+3.5; Cl-110;-HCO3:20
Blood glucose: 5.2 mmol/L (95 mg/dL)
Serum creatine: 160 umol/L (1.8 mg/dL)
BUN: 7.1 (20 mg/dL)
Urinalysis: pH5.2; specific gravity 1.005, protein 1+; glucose 2+; 3-5 WBC per/HF
The patient states that she voids several times during the night but is unaware of any
Problem with her kidneys. Which of the following disorders would be most likely associated with the findings
In this case?
A. Multiple myeloma
B. Diabetic nephropathy
C. IgA nephropathy
D. Penicillamine-induced nephropathy
E. Lupus nephritis
evaluation reveals the following:
Serum electrolytes: Na+:138; K+3.5; Cl-110;-HCO3:20
Blood glucose: 5.2 mmol/L (95 mg/dL)
Serum creatine: 160 umol/L (1.8 mg/dL)
BUN: 7.1 (20 mg/dL)
Urinalysis: pH5.2; specific gravity 1.005, protein 1+; glucose 2+; 3-5 WBC per/HF
The patient states that she voids several times during the night but is unaware of any
Problem with her kidneys. Which of the following disorders would be most likely associated with the findings
In this case?
A. Multiple myeloma
B. Diabetic nephropathy
C. IgA nephropathy
D. Penicillamine-induced nephropathy
E. Lupus nephritis