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* Endo Q
 #139247  
  leogeorge - 11/17/06 04:22
 
  A 35-year-old woman with a history of insulin dependent diabetes mellitus comes to the clinic because she ‘feels ill’. She has no other medical issues and takes insulin NPH 20 units twice daily. She has no allergies. She does not smoke and denies alcohol or drug use. Her blood pressure is 155/105 mm Hg and pulse is 80/min. Lung, heart, and abdomen examinations are normal. Laboratory studies show:
Na:135 K:6.5 Cl=115 HCO3=12 mE/l
Creatinine:2.4
Fasting Glucose:100mg/dl


A cortisol stimulation test is positive. After administration of 80 mg of furosemide and 3 hours of upright posture, her plasma renin and aldosterone levels are unchanged from baseline values. Which of the following is the most appropriate treatment?

A. Captopril
B. Fludrocortisone
C. Furosemide
D. Hydrocortisone
E. Potassium binders
 
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* Re:Endo Q
#561939
  malak - 11/17/06 07:14
 
  E. Potassium binders  
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* Re:Endo Q
#562111
  srik - 11/17/06 10:09
 
  malak,can u plz explain ? is the condition? and ? k binders?
thanks
 
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