Mr

Mr. B, a 42 year old white male, comes in with symptoms of hoarseness, intermittent dry cough, and a "burning" substernal pain. He is obese and admits to eating heavy meals and spicy foods at times. He denies ETOH and drug use. He does not currently take any medications except for the occasional Tylenol. What is your diagnosis and initial treatment?
 

Mrs. J, a 68 year old female, comes into the office with complaints of epigastric pain occurring soon after eating. Her exam is unremarkable. Her labs reveal a normal CMP. Her CBC does demonstrate a hemoglobin level of 10.6 gm/dl. What is her likely diagnosis and initial treatment recommendations? Mr. A's presents with azotemia. His BP has been uncontrolled despite being on mutiple antihypertensive agents including metoprolol ER 100 mg daily, amlodipine 10 mg daily, and clonidine 0.1 mg BID. Laboratory values demonstrate a BUN/creatinine ratio of 22:1; an elevated urine osmolality of 510 mOsm, and a Urine sodium of less than 9%. The microscopic urinalysis was unremarkable. What kind of acute renal failure is Mr. A experiencing?

Mr. B presents with acute renal failure. His physical exam demonstrates a palpable bladder with dullness to percussion. He has had progressively worsening symptoms of frequency, intermittency, and urgency. His urologist has prescribed tamsulosin 0.4 mg daily for him previously. What is the most likely cause of Mr. B's acute renal failure?