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Question: hi im struggling to answer a fictional case study if...

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Hi, I'm struggling to answer a fictional case study. If a male patient in their 50s presents with chest heaviness, polyuria, and hypertension and they are obese, live a sedentary lifestyle, and have a BMI greater than 35, what is the most likely diagnosis? I have their biochemistry results and they have (in compared to reference intervals):

Plasma results:

  • Low sodium
  • High potassium
  • Low chloride
  • Extremely high urea and creatinine
  • High glucose
  • High triglycerides
  • High total cholesterol
  • High LDL
  • Low HDL
  • High AST and ALT

Urine screening results:

  • Glucose ++
  • Trace micro-albumin

It seems the patient has many comorbidities. I chose Type II Diabetes Mellitus (since the biochemistry results show high glucose, as well as renal and cardiovascular complications) with possible liver complications (perhaps related to hepatitis viruses but further screening required)? Am I on the right track? Thank you. 

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