Q4 abdo A 27-year-old man presents to his primary care physician for a pre-employment physical examination. The patient states that he has been healthy and has no complaints except that he has been drinking a lot of water for what feels like an unquenchable thirst for the past couple of weeks. He reports that he has also been urinating excessively and is unable to sleep through the night due to his thirst and frequent urination. Urine analysis is signifi cant only for a specifi c gravity of 1.002. Serum analysis is significant for an osmolality of 320 mOsm/L and a serum glucose level of 120 mg/dL. The patient is admitted to the hospital, where subcutaneous vasopressin is administered. Subsequent urine analysis revealed a specific gravit of 1.009 and serum analysis reveals an osmolality of 300 mOsm/L and a serum glucose level of 124 mg/dL. The patient is most likely to benefit from treatment with which of the following? (A) Desmopressin (B) Fluid restriction (C) Hydrochlorothiazide (D) Insulin (E) Metformin
Posted on: Tue, 10 Sep 2013 15:04:34 +0000
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