NBME Step 2 CK Form 7 Diuretic therapy (NBME Answers)

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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 2/Question#42 (reveal difficulty score)
A 72-year-old man is admitted to the hospital ...
Diuretic therapy 🔍 / 📺 / 🌳 / 📖
tags: cardio

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submitted by ∗seagull(1933)

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Congestive Heart Failure. I overthought this one so hard.

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jlbae you weren't the only one +1

groovygrinch Shoutout to all the people who had no idea what the f*** a cardiac index was +

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submitted by ∗step_prep5(246)

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Decompensated heart failure most likely diagnosis given demographics (older patient with history of cardiac ischemia) + bilateral crackles in lung fields + low cardiac index with an increased pulmonary artery occlusion pressure (which is synonymous with pulmonary capillary wedge pressure and is a marker of left atrial pressure)
Decompensated heart failure –> Diuretic therapy to help pull off fluids (while being careful to not cause AKI)

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