5.0 of 4 Ratings
A 17-year-old girl presents to her primary care physician with a concern for a puffy cheek. She has noticed she has had a puffy cheek for the past month despite exercising more often and eating a healthy diet. The patient states she is an otherwise healthy student, does not smoke, and is not sexually active. Her temperature is 97.9°F (36.6°C), blood pressure is 114/74 mmHg, pulse is 105/min, respirations are 13/min, and oxygen saturation is 98% on room air. Physical exam is notable for a healthy young woman with a nontender abdomen. Exam reveals the finding in Figure A as well as poor dentition. Her BMI is 26 kg/m^2 and she has normal development for her age. Laboratory values are ordered as seen below.Hemoglobin: 10 g/dLHematocrit: 30%Leukocyte count: 12,900/mm^3 with normal differentialPlatelet count: 191,000/mm^3 Serum:Na+: 139 mEq/LCl-: 100 mEq/LK+: 3.0 mEq/LHCO3-: 29 mEq/LBUN: 23 mg/dLGlucose: 99 mg/dLCreatinine: 1.2 mg/dLCa2+: 10.2 mg/dLWhich of the following is the most likely diagnosis?
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A 22-year-old female college student comes to your clinic to establish care. She has no significant past medical history and her only complaint today is that she has had trouble maintaining a consistent weight. Her temperature is 98.6°F (37.0°C), blood pressure is 100/65 mmHg, pulse is 62/min, and respirations are 12/min. Her body mass index is 19.5. Her physical exam is significant for callused knuckles and dental enamel erosions. What laboratory abnormalities are likely to be found in this patient?
Decreased chloride, decreased potassium, decreased bicarbonate
Decreased chloride, decreased potassium, increased bicarbonate
Decreased chloride, increased potassium, increased bicarbonate
Increased chloride, decreased potassium, decreased bicarbonate
Increased chloride, increased potassium, increased bicarbonate