Parents bring an 8-day-old term neonate to an emergency room with complaints of excessive demands for breastfeeding, and lethargy between feeds. Physical examination is significant for decreased primitive reflexes, dry skin, dry mucous membranes and decreased skin turgor. The infant is afebrile with a heart rate of 170 bpm and normotensive. A complete blood count and gas are normal. Serum chemistry results are: sodium 163 mEq/L, potassium 4.5 mEq/L, BUN 9 mg/dl, creatinine 0.4 mg/dl, and plasma osmolality 314.5. The infant has a urine output of around 8 ml/kg/hour. Urine osmolality of 1000 mOsm/kg. A cranial MRI was negative for pathology. Thyroid function tests are normal. The most likely etiology for these findings is:
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The Onion Shack currently purchases 140,000 bags of Vidalia…
The Onion Shack currently purchases 140,000 bags of Vidalia onions each year at a price of $13 per bag (a bag is 25 pounds or 0.25 CWT). Onion Shack has historically purchased in lots of 12,000 bags. Transit time for Smith Trucking is 6 days and the cost per CWT is $3.80. The safety inventory that Onion Shack requires is 45% of lead time demand and the holding cost for a bag is 30% of cost. What is the annual transportation cost?
Green Dolphin Sailing recently reported net income of $96,00…
Green Dolphin Sailing recently reported net income of $96,000 and paid an annual dividend of $0.60 per share. The company has 120,000 shares outstanding and total equity of $520,000. What is the company’s sustainable growth rate?Enter your answer as a percentage rounded to two decimal places.
The chart of accounts includes the account titles in alphabe…
The chart of accounts includes the account titles in alphabetical order.
Common X-ray findings associated with RDS (Respiratory Distr…
Common X-ray findings associated with RDS (Respiratory Distress Syndrome) are:
The constant growth model can be used to value the stock of…
The constant growth model can be used to value the stock of firms that have which type(s) of dividends?
A term infant is recovering from a laparoscopic inguinal her…
A term infant is recovering from a laparoscopic inguinal hernia repair. He remains intubated and received a dose of IV tylenol in the recovery room. He remains sleepy with shallow breathing. His post-op CBG is reported as pH 7.45, pCO2 28, HCO3 38 and base excess of +3. A normal pulmonary response to metabolic alkalosis is:
Severe hypotonia and hyperammonemia are findings most common…
Severe hypotonia and hyperammonemia are findings most commonly associated with which inborn errors of metabolism?
A 10-day-old neonate is admitted to the NICU from the Emerge…
A 10-day-old neonate is admitted to the NICU from the Emergency room, with parental complaints of lethargy and decreased breastfeeding for last 2 days. Physical examination findings were notable for several papules on the scalp and lower back, lethargy, and a bulging fontanel. Laboratory results demonstrate hypoglycemia, metabolic and lactic acidosis, respiratory alkalosis, normal plasma ammonia, and elevated amino acid levels in plasma and urine. The most likely etiology for these findings is:
A woman in treatment for alcohol use disorder is allowed to…
A woman in treatment for alcohol use disorder is allowed to consume one drink at an outing as part of her program. What is this called?