A 66-year-old man had fallen out of a tree 4 years previously without any apparent fractures. Since that time he has complained of pain over the ribs. The patient had a firm marble-sized mass in his neck for the past 10-15 years. The size has remained constant until the last 6 months. At that point the mass was enlarged. A chest X-Ray revealed multiple rib fractures.
Electrolyte Case 7
A 66-year-old man had fallen out of a tree 4 years previously without any apparent fractures. Since that time he has complained of pain over the ribs. The patient had a firm marble-sized mass in his neck for the past 10-15 years. The size has remained constant until the last 6 months. At that point the mass was enlarged. A chest X-Ray revealed multiple rib fractures.
Laboratory Data:
| Patient Results | Reference Range | |
| Na | 120 | 136-145 mEq/L |
| K | 4.0 | 3.5-4.5 mEq/L |
| Cl | 100 | 98-107 mEq/L |
| CO2 | 24 | 23-29 mEq/L |
| Glucose | 95 | 74-100 mg/dL |
| BUN | 15 | 6-20 mg/dL |
| Creat | 0.8 | 0.9-1.3 mg/dL |
| TP | 13.2 | 6.4-8.3 g/dL |
| Albumin | 4.0 | 3.2-4.6 g/dL |
| Osmo | 290 | 275-299 mOsm/kg |
| U Osmo | 440 | 50-1400 mOsm/kg |
Additional tests revealed a normal Renin, Aldosterone, and ADH.
Determine the condition that would manifest these symptoms and test results
The post A 66-year-old man had fallen out of a tree 4 years previously without any apparent fractures. Since that time he has complained of pain over the ribs. The patient had a firm marble-sized mass in his neck for the past 10-15 years. The size has remained constant until the last 6 months. At that point the mass was enlarged. A chest X-Ray revealed multiple rib fractures. appeared first on Academicheroes.com.
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