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Retired NBME 23 Answers

nbme23/Block 1/Question#15 (reveal difficulty score)
A 26-year-old man who is a Peace Corps ...
0.9% Saline ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: physio fluids cholera

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 +7  upvote downvote
submitted by โˆ—imnotarobotbut(184)
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The treatment of cholera is mostly supportive - you want to rehydrate the patient by giving them an isotonic saline since they're losing a lot of fluids.

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 +2  upvote downvote
submitted by โˆ—criovoly(17)
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This patient is giving symptoms of hypovolemic shock, mainly due of dehydration. The HYPOTENSION is an example of severe dehydration and hypovolemic shock. You need to expand the vessels rehydrating the patient in order to avoid further shock and dehydration.

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