25 Jul WHAT OTHER CONDITIONS CAUSE POLYURIA AND POLYDIPSIA?
This patient presented with thirst polyuria and polydipsia. Studies show the following lab Show more Case 1: This patient presented with thirst polyuria and polydipsia. Studies show the following lab results: Lab Measurement Patient Results Normal Range Serum Glucose 100mg/dL Serum Sodium 146mM Serum BUN 22mg/dL Hemoglobin 17.2g/dL Hematocrit 51% Urinary sodium 77mM/day Serum creatinine 1.0mg/dL Serum uric acid Serum potassium 4.8mg/dL Serum insulin WNL Plasma renin activity Low Plasma osmolality 308mOsm/kg Urine osmolality 250mOsm/kg Amanda R. is a 20-year-old junior in college. Beginning about a month ago she noticed that she was waking up once sometimes twice a night to go to the bathroom. More recently she has noticed that she needs to go to the bathroom during her school day much more frequently than before sometimes as often as once every hour. Her mother insisted that she go see the family physician. No abnormalities were found on physical examination. Amanda had no history of traumatic head injury and an MRI of her brain was normal. Next a 2-h water deprivation test was performed on Amanda. After two hours of not being able to drink water the osmolarity of her plasma and urine was measured a second time. This time her urine osmolarity was unchanged but the osmolarity of the plasma increased to 315mOsm/kg. Based on the results explain the problem that Amanda is having. Question 1 Describe the mechanisms by which normal fluid regulation in the body occurs? Question 2 What is the possible treatment of this disease? Question 3 What other conditions cause polyuria and polydipsia? Please answer question 123 and explain Show less
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