1.Diabetic patient comes to an emergency with altered sensorium and signs of dehydration. On investigation, his random blood sugar is found to be 600 mg/dl, and his serum sodium is 125 mEq/L. What is the cause of hyponatremia in this case?
Hyperosmolar hyponatremia
Hypo-osmolar hyponatremia
Hypervolemic hyponatremia
Euvolemic hyponatremia
2.70 years old man with a known case of Diabetes and Hypertension is currently on regular medication: Metformin, Atorvastatin, and Losartan. Now, the patient presented to Medicine OPD, and on further investigation, serum creatinine is 1.3 mg/dl, serum urea is 45 mg/dl, on urine examination, there is albuminuria with urinary protein ++ and total serum protein is 3.2 gm/dl. What will be the next most appropriate step to be taken?
Stop Metformin and perform a renal biopsy
Stop Metformin and start Glargine
Stop Metformin and start Empagliflozin
Start Empagliflozin and optimize the dose of Losartan
3.Renal transplant patient is on the medication prednisolone, azathioprine, and cyclosporine. He presented with back pain; the General practitioner prescribed colchicine and probenecid; the most deadly complication in this case is?