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 Best of Five 206

 

   

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BOF: 206

A 26-year-old male is admitted with severe pain radiating from his left loin to the left groin. He also has haematuria.  He gives a history of previous urinary tract infections. Clinical examination is unremarkable. Investigations are as follows:

Serum Sodium 140mmol/L

Serum Potassium 2.8 mmol/L

Urea 5.7 mmol/L

Creatinine 107 micromoles/L

Chloride 115 mmol/l

Bicarbonate 16 mol/L

In this patient which of the following would you use to prevent recurrence of his problems?

a)      Allopurinol

b)      Probenecid

c)      Sulphinpyrazone

d)      Long term antibiotics

e)      Sodium bicarbonate

 

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