Q:

A 64 year old patient has been having frequent episodes of secretory diarrhea, which is extremely watery, with large amounts of mucus. A diagnosis of villous adenoma was made after endoscopy. What electrolyte abnormality is most likely in this patient?

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A 64 year old patient has been having frequent episodes of secretory diarrhea, which is extremely watery, with large amounts of mucus. A diagnosis of villous adenoma was made after endoscopy. What electrolyte abnormality is most likely in this patient?


  1. Hyperkalemia
  2. Hypernatremia
  3. Hyponatremia
  4. Hypokalemia

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Correct key is both C and D! [Villous adenoma can cause both hyponatremia and hypokalemia].

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