Question: hi this is a repost of an earlier post i...
Hi, this is a repost of an earlier post. I just wanted a different opinion. I was wondering if anyone could help me provide a provisional diagnosis for this fictional patient?
|Sodium||129 mmol/L||135 - 145|
|Potassium||5.3 mmol/L||3.5 - 4.5|
|Chloride||89 mmol/L||95 - 108|
|Urea||32 mmol/L||3 - 8|
|Creatinine||2.5 mmol/L||0.05 - 0.12|
|Glucose||13.1 mmol/L||3.5 - 6.4|
|Triglyceride||3.6 mmol/L||< 2|
|Total cholesterol||7.8 mmol/L||< 4|
|LDL||3.4 mmol/L||< 2|
|HDL||0.38 mmol/L||> 1|
|AST||69 U/L||5 - 35|
|ALT||72 U/L||5 - 40|
Urine results are:
- Glucose ++
- Trace amounts of micro-albumin
Fictional patient is in their 50s, lives a sedentary lifestyle, is obese with a BMI > 30, has hypertension, polyuria, chest heaviness.
- What would be a good provisional diagnosis? There are too many co-morbidities that I'm confused.
- How can I relate the clinical symptoms with the biochemistry test results?
- What are the risk factors that contribute to the condition?
- What tests should I run to support the diagnosis?
Thank you. I have some ideas but I wanted to hear other opinions.