A 54-year-old man admitted to a rehabilitation unit due to the persistent weakness from a thoracic spinal cord injury due to a fall. The patient has medical history of hypertension and nephrolithiasis. Electrocardiography findings were unremarkable.
Laboratory Results Blood pressure 160/80 mm of Hg Potassium Hospital day 1, 4.1 mmol/L Hospital day 33, 5.6 mmol/L Creatinine 0.8 mg/dL Sodium 139 mEq/L Arterial blood gas on room air P o2 64 mm Hg P co2 , 41 mm Hg Bicarbonate 23 mEq/L pH 7.40 Current Medications Amlodipine, 5 mg/d Ibuprofen, 200 mg Heparin, 5000 U subcutaneously twice daily What is the probable diagnosis? Click here for the answer *This patient case is from Docplexus Editorial Team for educative purposes only. Source: Clinical Pearls of Nephrology
