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Review Question - QID 204312

Electrolyte Disturbances QID: 204312 (IM.38)
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QID 204312 (Type "204312" in App Search)
A 70 year-old man is brought to the emergency department by his daughter due to lethargy and change in mental status. His daughter states he was recently diagnosed with Alzheimer's disease and had to move in with her family to help with his activities of daily living. The patient has not had any fevers, chills, coughing, or changes in urination or stool. He has no other medical problems and takes no medications. Vital signs include Temp 36.9 C, BP 104/68 mmHg, HR 100/min, and RR 16/min. After standing for 10 minutes, his blood pressure is 82/58 mmHg. On physical exam, he is a frail, elderly man with dry oral mucosa. He is oriented to person only. His skin examination is shown in Figure A. Cardiac and pulmonary auscultation are within normal limits.
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