A 12 year old, 50 kg male is admitted to the pediatric ward…

A 12 year old, 50 kg male is admitted to the pediatric ward after being seen in the ED because he fell from a tree and sustained a depressed skull fracture. He has multiple bruises elsewhere but no other fractures on his trunk or extremities. Findings on a chest Xray and urinalysis are normal.He was placed on IV fluids (D5NS20K) at maintenance rate. However, 12 hours into his admission, the electrolyte values reveal hyponatremia:   Na = 127, K = 4.9, Cl =97, HCO3 = 22, BUN 9, Cr = 0.4 Hyponatremia is most likely a result of:   

Clara has recently been diagnosed with a sexually transmitte…

Clara has recently been diagnosed with a sexually transmitted infection. She has fevers frequently and has chronic fatigue. She is also losing weight at an alarming rate. There is no cure for her condition. Given this information, it is likely that Clara has been diagnosed with