usmle6789
Forum Senior
Topics: 33
Posts: 49
|
a 7 week old boy is brought to the physician because of fever ,irritability, lethargy for 3 days. He has no vomiting, diarrhea or symptoms of URTI. He always seems hungry to his mother despite being fed 3 ounces of formula for every 3 hours. His mother also notes that he has many wet diapers throughout the day and night. He currently appears irritable. 37.8[100], 80/50, 150, 25. physical examination shows a sunken anterior fontanella. Mucous membranes are dry. There is tenting of the skin. Further examination shows no other abnormalities. Urinalysis is negative for glucose and protein.
Select most likely set of lab
NA+ CL- K+ HCO3- URINE PH SP.GRAVITY
132 89 2.8 39 5.0 1.025
133 110 3.9 16 6.0 1.015
163 117 4.3 22 5.5 1.003
165 115 4.5 19 5.0 1.030
I GUESS ITS 1 here. Not sure. What is the diagnosis?
|
| ELM
Forum Guru
Topics: 28
Posts: 936
|
Yeah right :lol: what is he got? Adrenocortical insuff?
I have to make wild guess ...so 1 or 2.
___________________
ELM
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
i think agree with 1, looks like some salt-wasting syndrome.
anyone else?
Oops jst saw my blooper, salt-losing crisis i meant!
how a couple of words can change the whole thing!!
Edited by drk1980 on 07/25/06 - 08:48 AM
|
| drdiv
Forum Junior
Topics: 16
Posts: 63
|
hi
why, u guys r not thinking this case as diabetes insipidus? in that case answer is 'c'
|
| veens
Forum Junior
Topics: 4
Posts: 64
|
ya right i feel its a case of diabetes insipidus
|
| veens
Forum Junior
Topics: 4
Posts: 64
|
di cause lower urine sp gr,hence d is right
|
| drdiv
Forum Junior
Topics: 16
Posts: 63
|
lower specific gravity it is 1.003 so the option is c
|
| veens
Forum Junior
Topics: 4
Posts: 64
|
ya sorry it is c
|
| dtt
Forum Newbie
Topics: 2
Posts: 14
|
it is C
|
|
| |
| | | | | | | | | |
