A very thin 15-year-old female presents with headache, polyuria, - TopicsExpress

A very thin 15-year-old female presents with headache, polyuria, and grand mal seizures. She answers the question, if she has had to vomit recently, with “frequently” but that these symptoms “are under control now.” Her body mass index is 14.1. Serum glucose, calcium, and potassium are normal. Serum sodium, chloride, and osmolarity are low. As a working diagnosis, which of the following is most likely? A) Addison disease B ) central diabetes insipidus C) diabetes mellitus D) nephrogenic diabetes insipidus E) water intoxication

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