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58. During the round of the ward, consultant was discussing about a 50 years old patient suffering from end stage renal disease. He said that certain metabolic problems start occurring in this condition and creatinine clearance decreased to < 10 ml/min. moreover fluid and electrolyte balance, acid base balance, hormone production and waste removal are also affected. What is he pointing towards?
59. A 50 year old female a known case of HIV/AIDS, presented to medical OPD with general weight loss, night sweats, general debility, fever, productive cough and hemoptysis. What is she suffering from?
60. A 20 years old girl presented with high fever, diarrhea, myalgia and widespread erythematous rash that has the appearance of bad sunburn, with subsequent desquamation. On examination he had hypotension. She gives history of recent tampon use. What is the likely diagnosis?