History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Differential Diagnosis
Initial Studies
Lab Results
Diagnosis
Differential Diagnosis 2
Relevant Testing
Test Results
Imaging Results
Test Interpretation
Treatment Orders
Question 1
Question 2
Question 3
About the Case
31-year-old woman with nausea and increased thirst
Laboratory Results
Results of appropriate testing return and show the following:
Blood:
Test (units)
Result
Results (SI Units)
Glucose, random
112 mg/dL
6.2 mmol/L
Serum:
Test (units)
Result
Results (SI Units)
Calcium, total
13.6 mg/dL
3.4 mmol/L
Na
+
136 mEq/L
136 mmol/L
K
+
4.9 mEq/L
4.9 mmol/L
Cl
-
95 mEq/L
95 mmol/L
HCO3
-
22 mEq/L
22 mmol/L
Creatinine
0.8 mg/dL
74 micromol/L
TSH
0.45 mU/L
Normal 0.35-5.5 mU/L
FT4
1.2 ng/dL [14 pmol/L]
Normal 0.9-1.7 ng/dL [10.5-20 pmol/L]
Phosphate
1.9 mg/dL [0.6 mmol/L]
Normal 2.5-4.3 mg/dL [0.8-1.4 mmol/L]
Osmolality
285 mOsmol/kg
Normal 280-295 mOsmol/kg
Urine
Test (units)
Result
Results (SI Units)
Osmolality
210 mOsmol/kg
50-1200 mOsmol/kg
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