81. A 58-year-old man who is a construction worker comes to the office because of a 1-week history of pain on the right side of his head. One week ago, he says his head on a beam while carrying drywall to the second floor of a house under construction. He has had dry mouth, excessive thirst, and increased urinary fre during this period. His pulse is 120 /min, respirations are 25/min, and blood pressure is 120/65 mm Hg. Physical examination shows dry mouth and decrease turgor. Urine osmolality is 196 mOsmol/kg H₂O (N>287). An MRI of the brain shows a hyperintense sighal consistent with hemorrhage of the posterior pituitam This patient most likely has decreased renal reabsorption of which of the following? A) Chloride ions OB) Magnesium ions C) Potassium ions D) Sodium ions E) Water

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81. A 58-year-old man who is a construction worker comes to the office because of a 1-week history of pain on the right side of his head. One week ago, he says he struck
his head on a beam while carrying drywall to the second floor of a house under construction. He has had dry mouth, excessive thirst, and increased urinary frequency
during this period. His pulse is 120 /min, respirations are 25/min, and blood pressure is 120/65 mm Hg. Physical examination shows dry mouth and decreased skin
turgor. Urine osmolality is 196 mOsmol/kg H₂O (N>287). An MRI of the brain shows a hyperintense sighal consistent with hemorrhage of the posterior pituitary gland.
This patient most likely has decreased renal reabsorption of which of the following?
OA) Chloride ions
OB) Magnesium ions
C) Potassium ions
D) Sodium ions
E) Water
Transcribed Image Text:81. A 58-year-old man who is a construction worker comes to the office because of a 1-week history of pain on the right side of his head. One week ago, he says he struck his head on a beam while carrying drywall to the second floor of a house under construction. He has had dry mouth, excessive thirst, and increased urinary frequency during this period. His pulse is 120 /min, respirations are 25/min, and blood pressure is 120/65 mm Hg. Physical examination shows dry mouth and decreased skin turgor. Urine osmolality is 196 mOsmol/kg H₂O (N>287). An MRI of the brain shows a hyperintense sighal consistent with hemorrhage of the posterior pituitary gland. This patient most likely has decreased renal reabsorption of which of the following? OA) Chloride ions OB) Magnesium ions C) Potassium ions D) Sodium ions E) Water
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