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3585 Medicine

A 64-year-old man presents with symptoms of malaise, shortness of breath, edema, and no urine output for 24 hours. His past medical history is not significant, and his only medication is daily aspirin. On examination his JVP is 4 cm, heart sounds are normal, lungs are clear, and the abdomen is soft. A Foley catheter is inserted into his bladder for 200 cc of urine, which is sent for urinalysis. His urine output still remains low. Which of the following is the most appropriate initial diagnostic test?

Arenal ultrasound
Bblood cultures
Curine cultures
Dinferior vena cavagram with selective renal venogram
Medicine
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3587 Medicine

A child presented with severe respiratory distress two days after bih. On examination he was observed to have a scaphoid abdomen and decreased breath sounds on the left side. He was managed by prompt Endotrachcal intubation. After ET tube placement the maximal cardiac impulse shifted fuher to the right side. What should be the next step in management?

AConfirm the position of endotracheal tube by chest X ray
BEmergency surgery
CNasogastric tube inseion & decompress the bowel
DChest X ray to confirm diagnosis
Medicine
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