Question

A 20-year old male was admitted to the hospital with complaints of severe headaches, edema of face and reddish color urine. Such symptoms occurred after overcooling during fishing. The patient is known to suffer from chronic tonsillitis. On physical examination. Body temperature is 37.8°C. Skin is pale. Severe face edema is present. Pulse is regular. Heart beating rate is 84 b.p.m. On auscultation there is a loud second sound on the aorta, BP is 230/120 hg.mm. Biochemical blood test: creatinine 170.4 mkmol/l, urea 12.6 mmol/l, potassium 5.5 mmol/l, sodium 145.8 mmol/l. general cholesterol 7.7 mmol/l. Urinalysis: a lot of erythrocytes, protein 4.1 g/1, bacteria are absent. Urine amount is 300 ml a day.

Answer 1

Answer:

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