In this task, you are given a sentence in the Spanish language. Your task is to translate the Spanish sentence into the English language.

Input: Consider Input: Paciente de 68 años que consulta por edemas y astenia. En la analítica realizada se constata creatinina de 5 mg/dl, hemoglobina de 10 gr/dl y una marcada hipogammaglobulinemia en suero a expensas de IgG, IgA e IgM. Un análisis de orina revela la presencia de cadenas ligeras kappa. ¿Cuál es su sospecha diagnóstica?

Output: A 68-year-old patient who consulted for edema and asthenia. In the analytical carried out, creatinine of 5 mg / dl, hemoglobin of 10 gr / dl and marked serum hypogammaglobulinemia at the expense of IgG, IgA and IgM are observed. A urinalysis reveals the presence of kappa light chains. What is your diagnostic suspicion?


Input: Consider Input: El virus respiratorio sincitial es un

Output: The respiratory syncytial virus is a


Input: Consider Input: La metformina se recomienda como tratamiento inicial en la mayoría de consensos de tratamiento de la diabetes tipo 2, por eficacia, seguridad y precio; no obstante su utilización tiene algunas limitaciones y es obligado suspenderla en algunas situaciones clínicas. ¿En cuál de las siguientes situaciones NO consideraría suspender este tratamiento?


Output: Metformin is recommended as initial treatment in most consensus of treatment of type 2 diabetes, for efficacy, safety and price; However, its use has some limitations and it is obligatory to suspend it in some clinical situations. In which of the following situations would you NOT consider stopping this treatment?