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A patient with a long history of hypertension and diabetes,…

A patient with a long history of hypertension and diabetes, but no medical care, now presents to the emergency department to be evaluated after a motor vehicle accident. You order a CMP. Here are the results:               BUN                     19 mg/dL                                     (normal: 6-20 mg/dL)               eGFR                   38 mL/min/1.73m2                     (normal:  >60 mL/min/1.73m2)               ALT                       52 U/L                                          (normal:     7-56 U/L)               AST                      60 U/L                                          (normal:     5-40 U/L)               Alk Phos             153 U/L                                         (normal:     41-133 U/L)Does the patient have kidney disease? ____________. What could explain the normal BUN but low eGFR? ________________________. Is the AST and Alk Phos elevated due to liver problems or non-liver problems? ________________________.

A patient’s lab results include the following: Calcium 13 mg…

A patient’s lab results include the following: Calcium 13 mg/dL (normal: 8-10.4 mg/dL)Potassium 4.0 mg/dL (normal: 3.5-5.2)Sodium 130 mEq/L (normal: 136-145)Albumin 4.0 g/dL (normal: 3.5-5.2)LDH – elevatedLipase – normalUrine dipstick – normal except positive for bloodMicroscopic examination of urine shows intact red blood cellsWhat would be the most appropriate next step?