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A 75-year-old man had had progressive generalized weakness and an inability to rise from a sitting position for 10 days. He reported no sensory disturbances, use of drugs, loss of consciousness, shortness of breath, chest pain, diarrhea or vomiting. His previous medical history was negative for neurologic disease and hypertension. A dietitian questioned the patient soon after admission. Because of his edentulous state, he had eaten mostly soup and soft vegetables for over a year. He also related a history of chewing 8 12 oz bags of chewing tobacco daily. Blood pressure was 160/110.

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Electrolyte Case 4

A 75-year-old man had had progressive generalized weakness and an inability to rise from a sitting position for 10 days. He reported no sensory disturbances, use of drugs, loss of consciousness, shortness of breath, chest pain, diarrhea or vomiting. His previous medical history was negative for neurologic disease and hypertension.

A dietitian questioned the patient soon after admission. Because of his edentulous state, he had eaten mostly soup and soft vegetables for over a year. He also related a history of chewing 8 12 oz bags of chewing tobacco daily. Blood pressure was 160/110.

Laboratory data :

Patient Results Reference Range
Na 149 136-145 mEq/L
K 1.8 3.5-4.5 mEq/L
Cl 101 98-107 mEq/L
CO2 37 23-29 mEq/L
Glucose 103 74-100 mg/dL
BUN 10 6-20 mg/dL
Creat 0.9 0.9-1.3 mg/dL
TP 6.3 6.4-8.3 g/dL
Osmo 288 275-299 mOsm/kg
U Osmo 639 50-1400 mOsm/kg

Further tests revealed:

Reference Range
Aldosterone 1.6 ng/dL 2-20 ng/dL
Renin none detected 1-9 uU/mL
Cortisol 18.5 ug/dL 8-24 ug/dL

The post A 75-year-old man had had progressive generalized weakness and an inability to rise from a sitting position for 10 days. He reported no sensory disturbances, use of drugs, loss of consciousness, shortness of breath, chest pain, diarrhea or vomiting. His previous medical history was negative for neurologic disease and hypertension. A dietitian questioned the patient soon after admission. Because of his edentulous state, he had eaten mostly soup and soft vegetables for over a year. He also related a history of chewing 8 12 oz bags of chewing tobacco daily. Blood pressure was 160/110. appeared first on Academicheroes.com.

 
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