A 70-year-old male is found lethargic at home with a blood p…

A 70-year-old male is found lethargic at home with a blood pressure of 98/60 and temperature of 98F.Labs: Na=138 mEq/L, K= 2.8 mEq/L, HCO3=10 mEq/L, Cl=117 mEq/L, Creatinin= 1.0 mg/dL, BUN=20 mg/dL, Ca= 10 mg/dL, PO2=80, PCO2= 25 and pH= 7.29. Urine pH=4.5  What is the acid base disorder?  

A 32-year-old woman presents with joint stiffness and pain o…

A 32-year-old woman presents with joint stiffness and pain of the hands and wrists for the last two years. Her symptoms are most severe in the morning and improve in the afternoon. She reports an unintentional loss of 15 pounds over the course of 3 months as well as fatigue. On physical exam, there is swelling and tenderness at the metacarpophalangeal and proximal interphalangeal joints. What is the most probable cause of her condtion?  

A 16-year-old girl presents to her gastroenterologist with s…

A 16-year-old girl presents to her gastroenterologist with severe, crampy, abdominal pain and intermittent nonbloody diarrhea. She has also had unexpected weight loss over the past few months. She also reports having irritating sores in her mouth. On exam, she is noted to have aphthous sores on the bucca mucosal, and skin tags around the anus. A colonoscopy a week later shows cobblestone mucosa and non-contiguous involvement of the small intestine, suggesting a diagnosis of ___________