A 50-year-old male presents with altered mental status. His…

A 50-year-old male presents with altered mental status. His wife tells you that he had a “small stroke” 3 years ago but has otherwise been in good health. The patient is responsive but unable to follow commands. After administering oxygen if needed, you should:

A overweight 36-year old male with a history of atherosclero…

A overweight 36-year old male with a history of atherosclerosis and illicit drug use, seeks medical attention for sudden onset right flank pain. He complains that he has produced only 200 ml of urine in the past 36 hours and that small amount urine contained some blood. He also reports that he has never experienced these symptoms before. Examination reveals right flank tenderness. He has not had any recent respiratory infections and, other than his current complaint, his overall health is normal. Although lab tests suggest presence of mild inflammation, there is no evidence for pathogenic infection. The patient begins to suffer increasing discomfort so he is taken to surgery to correct and restore right renal kidney function. Histologic examination of renal biopsies obtained from surgery show elements of epithelial cellular blebbing, loss of epithelial brush border, detachment of epithelial cells from their underlying basement membrane and areas of necrotic damage. His condition is best diagnosed as:

A overweight 36-year old male with a history of atherosclero…

A overweight 36-year old male with a history of atherosclerosis and illicit drug use, seeks medical attention for sudden onset right flank pain. He complains that he has produced only 200 ml of urine in the past 36 hours and that small amount urine contained some blood. He also reports that he has never experienced these symptoms before. Examination reveals right flank tenderness. He has not had any recent respiratory infections and, other than his current complaint, his overall health is normal. Although lab tests suggest presence of mild inflammation, there is no evidence for pathogenic infection. The patient begins to suffer increasing discomfort so he is taken to surgery to correct and restore right renal kidney function. Histologic examination of renal biopsies obtained from surgery show elements of epithelial cellular blebbing, loss of epithelial brush border, detachment of epithelial cells from their underlying basement membrane and areas of necrotic damage. His condition is best diagnosed as: