Whаt were the twо mаin weаknesses оf the grоwing Roman empire?
A 25-yeаr-оld hоmeless mаn is trаnspоrted to the emergency department by ambulance after bystanders called because he had been found lying unconscious for an unknown period of time. According to the paramedics, the patient was found lying on the sidewalk and unresponsive to verbal or painful stimuli. During transport to the hospital, the patient did experience a generalized tonic-clonic seizure lasting 30-45 seconds. The patient is unable to give any history. On examination, his blood pressure is 140/80 mmHg, pulse is 92 per minute, respirations are 14 per minute, and his temperature is 99.8 F. He is not responsive to verbal or painful stimuli. Examination of the chest, heart, abdomen, and extremities is unremarkable. The neurologic exam is without focal deficits. After placement of an indwelling catheter, visual inspection reveals dark, "coca-cola" colored urine. Blood alcohol level was 88 mg/dl. The serum creatine kinase level is 10,500 U/L. A urine sample was sent for drug screen showing the presence of cocaine. Which of the following serum electrolyte abnormalities would be MOST LIKELY in this adult patient? Answer Na K Ca2+ (8.5-10.5) PO4 (2.5-5.0) BUN creatinine Uric acid A. 125 5.8 12.1 2.4 44 2.4 Low B. 128 3.1 9.3 3.4 50 2.4 Elevated C. 130 5.8 8.1 5.8 60 2.4 Elevated D. 145 4.2 9.8 3.5 18 0.8 Elevated E. 145 4.2 9.8 3.5 18 0.8 Normal F. 155 4.5 8.1 5.8 40 1.5 Normal