frank100
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Topics: 48
Posts: 586
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A PREVIOUSLY HEALTHY 62 YEAR OLD WOMAN COMES TO THE PHYSICIAN BECAUSE OF A 7 WEEK HISTORY OF CONFUSION, SHAKING AND EXCESIVE SWEATING AFTER MODERATE EXCERCISE. HER SYMPTOMS ARE RELIEVED BY DRINKING SPORT BEBERAGES. OCASSIONALLY SHE HAS HAD SIMILAR EPISODES IN THE MORNING DURING THIS PERIOD. SHE DRINKS 4 OUNCES OF SCOTCH DAILY. SHE WEIGHTS 59 KG AND 163 CM, BMI: 22. BP: 140/90, PULSE: 72. EXAMINATION SHOWS NO OTHER ABNORMALITIES.
LABS:
PT: 11.4
Na 140
K 4.5
Ca 10.1
GLUCOSE 50
CREATININE 0.8
PROTEIN, TOTAL 7
ALBUMIN 4
BILIRRUBIN TOTAL 0.9
DIRECT 0.2
AST 30
ALT 47
WHICH OF THE FOLLOWING IS THE MOST LIKELY DIAGNOSIS?
a) ADRENAL INSUFFICIENCY.
b) DIABETES INSIPIDUS.
c) HEPATIC CIRRHOSIS.
d) HYPOTHYROIDISM.
e) insulinoma
f) panic disorder
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| mazinger
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Topics: 46
Posts: 920
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e
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