Problem: Joseph Reterez, 45-years-old, is admitted to the emergency department with abdominal and flank discomfort, distension of the abdomen, anorexia, fatigue, and nausea. He says that his urine is cloudy, and he thinks there is some blood visible in his urine. His assessment shows an increased abdominal girth, enlarged kidneys, mild (1+) pedal edema, and bilateral flank pain. His vital signs are as follows: temperature 100.1F, BP 145/92 mmHg, pulse 92/min, respiratory rate 14/min. Significant blood chemistry values include the following: BUN 45 mg/dL, creatinine 2.0 mg/dL, and serum sodium 147 mEq/L. His urine specimen shows mildly elevated (+1) protein and the presence of RBCs. Need Assignment Help?