Based upon the witmess tarements and the laboratory analysis, what is your final

Question

Based upon the witmess tarements and the laboratory analysis, what is your final diagnosis? Case 3: The Parched Professor Your last call is to the aid of Professor Purple. Three witnesses are present from whom to take statements Witness statements Mr. Olive: "I swear that I saw him drink a full glass of water every half an hour today. He kept saying how thirsty he was!" Ms. Blanc "He must be going to the. . . well, you know, the little boys' room, two or three times every hour! following a healthy diet! He should be drinking some of my herbal teas! Based upon the witnesses' statements, what are your initial thoughts? Does one hormone come to mind that could DMrs. Feather: "He's been saying lately that his mouth is dry and that he feels weak. Personally, 1 think he's just not produce these effects? You interview Professor Purple and collect blood and urine specimens to be sent off to the lab for analysis. The la that the urine osmolality is 150 mOsm/kg, which means that the urine is overly dilute (too much water in the blood). The lab also reports that his blood glucose is completely normal. What is the significance of these clues? ENDOCRINE SYSTEM IT 26 ploring Anatomy& Physiology in the Laboratory

Explanation / Answer

Please find the answers below:

Answer 1: According to the information, the urine is slightly dilute whereas the blood is slightly concentrated in nature. This suggests that the patient is unable to peform fluid retention in the body and thus suffers from mild dehydration.

Answer 2: As the kidneys are unable to retent water, there must be lack of hormone vasopressin or anti-diuretic hormone, thus leading to passage of large volume of water through the urine.

Answer 3: As the TSH seems to be elevated, it signfies that the patient might be suffering from hypothyroidism. This condition leads to generalized lower metabolism in the body with lower body temperature. This causes failure of water retention in the body since more water will lead to further cooling of the body. Thus, the kidneys tend to pass more dilute urine.

Answer 4: This final diagnosis states that the patient is suffering from hypothyroidisim associated with low T3, T4 and high TSH levels.

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