- Joined
- Jan 20, 2013
- Messages
- 1,945
- Reaction score
- 645
A 50-year-old male currently being treated for an H. pylori infection presents with a sudden-onset fever, worsening nausea, and vomiting. He mentions he’s had reduced urine output over the last two days. Laboratory tests reveal an increased blood plasma creatinine concentration and urine microscopy demonstrates red blood cells, leukocytes, and leukocyte casts. Which of the following drugs in this patient’s treatment regimen is the most likely cause of their presentation?
A. Bismuth subsalicylate
B. Proton pump inhibitor (PPI)
C. Metronidazole
D. Tetracycline
Post your guess here, then check Figure 1 to see if you're right!
Explore cases, quiz yourself, and solve medical mysteries along with thousands of other medical professionals around the world on Figure 1, the free app where doctors expand their clinical knowledge.
A. Bismuth subsalicylate
B. Proton pump inhibitor (PPI)
C. Metronidazole
D. Tetracycline

Post your guess here, then check Figure 1 to see if you're right!
Explore cases, quiz yourself, and solve medical mysteries along with thousands of other medical professionals around the world on Figure 1, the free app where doctors expand their clinical knowledge.