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March 20, 2024

A 62 year old with type 2 DM complains of increased nocturia and exhibits 1+ pitting peripheral edema.

A 62 year old with type 2 DM complains of increased nocturia and exhibits 1+ pitting peripheral edema. Blood pressure is 148/92 mm/hg and fasting blood glucose is 110mg/dl. The patient is slightly anemic and their serum creatinine level is slightly elevated. All other lab tests and physical examination findings are within normal limits. What is the most likely diagnosis? A. Acute renal failure B. Heart failure C. Uncontrolled DM D. Renal insufficiency

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