Which of the following is the most likely diagnosis? (A) Acetaminophen toxicity (B) Fatty liver of pregnancy (C) Metastatic carcinoma (D) Reye syndrome (£) Wilson disease

83. A 25-year-old woman comes to the physician because of a 2-week history of left flank pain. She has had progressive weakness and decreased appetite during this period. Her temperature is 38°C (100.4°F). Physical examination shows left flank tenderness. Laboratory studies show a leukocyte count of 18,500/mm³. Urinalysis shows numerous RBCs and WBCs. A CT scan of the abdomen confirms an abscess of the lower pole of the left kidney. Which of the following is most likely preventing the spread of the infection to the surrounding organs? A) Fatty layer (Camper fascia) of the abdominal tela subcutanea B) Greater omentum C) Membranous layer (Scarpa fascia) of the abdominal tela subcutanea D) Pararenal fascia E) Perirenal (Gerota) fascia

A 31-year-old white male patient with known type 1 diabetes mellitus, end-stage renal disease secondary to diabetic nephropathy, and a history of alcoholism was admitted with acute abdominal pain in the mid-epigastrium, with a blood gas values of pH of 7.48, poz of 121 mm Hg, 02 saturation of 99%, pCO2 of 30 mm Hg, and bicarbonate of 20 mE q/L. What is a possible compensatory mechanism? A. Decreasing H* ion retention B. Increasing bicarbonate retention C. Increasing the respiratory rate D. Decreasing the respiratory rate

A 39 yearold woman comes to the clinic complaining of diarrhea and abdominal pain.  “I feel so weak.”  She reports having four to five loose, occasionally bloody stools per day for the past two weeks, with abdominal cramping beginning over the past 48 hours.  She has been self-treating with occasional other-the-counter (OTC) antidiarrheals without success.  She denies recent antibiotic use.  She complains of severe fatigue.  She gave birth to her third child 6 weeks ago.  She is not breast feeding. A complete blood count, blood chemistry (including electrolytes, renal function tests and blood glucose) and serum iron is ordered along with stool cultures, colonoscopy and upper gastrointestinal (UGI) endoscopy with small bowel follow-through. Lab Data:   Sodium 140 mmol/L Potassium 3.5 mmol/L Chloride 105 mmol/L Urea 3.57 mmol/L Serum creatinine 115 µmol/L Glucose 7.8 mmol/L Iron 4.3 µmol/L Hb 132 g/L Hct 0.39 L/L WBC 7.68 x 109 with normal differential     She…