CLINICAL MEDICINE

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MEDICINE

NEPHROLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 50 year old man was brought by his family to the hospital emergency room with complaints of unconsciousness. Previously the patient complained of fever and cough with green phlegm. From the results of PF, fine wet crackles in both lung fields. His previous medical history was type 2 DM and he did not take regular medication. On TTV examination, blood pressure was 80/60 mmHg, pulse 110 x/minute, temperature 382C and respiratory rate 32 x/minute. On laboratory examination of blood glucose when obtained 450 mg/dL, leukocytosis. What is the most appropriate anti-diabetic drug given?
A
Sulfonylureas
B
Biguanid
C
Acarbose
D
Thiazolidinedione
E
Insulin
Explanation: 

Detailed explanation-1: -Symptoms of COPD include: Frequent coughing or wheezing. Excess phlegm or sputum. Shortness of breath.

Detailed explanation-2: -Coughing up white mucus can indicate several conditions, including asthma, bronchitis, and chronic obstructive pulmonary disease (COPD). In some cases, a person may need to see a doctor. Mucus from the chest is responsible for protecting against microbes, and is often white or clear in color when it is healthy.

Detailed explanation-3: -Breathing rate. An increase in the number of breaths per minute may mean that a person is having trouble breathing or not getting enough oxygen. Color changes. Grunting. Nose flaring. Retractions. Sweating. Wheezing. Body position.

Detailed explanation-4: -Drink plenty of liquids to stay hydrated. Try hot tea or water with honey and lemon to soothe irritated airways. Suck on cough drops or hard candies. Sucking on a hard lozenge promotes saliva production that soothes the throat. Take a spoonful of honey. Use a humidifier. 29-Sept-2021

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