Mr. Li, 57 years of age, seeded to medical help because of fatigue, diuresis, and thirsty. He has a history of hypertension of 10 years.
Physical exam results:
BP: 154/96 mm Hg
HR: 88 ppm
Temperature: 37.4 C
Respiratory rhythm: 20/minute
Body weight: 90 kg
Height: 173 cm
BMI: 30.1
Lab parameters:
Serum sodium: 140 mmol/L
Serum potassium: 4.5 mmol/L
Serum chloride: 100 mmol/L
Serum HCO3: 30 mmol/L
Blood urine nitrogen: 7.6 mmol/L (21.29 mg/dL)
Serum creatinine: 167 umol/L (1.89 mg/dL)
Fasting plasma glucose: 18.9 mmol/L (340.54 mg/dL)
A1c: 10%
Urinary glucose: (++)
Urinary ketones (-)
Urinary protein (-)
Current Rx:
Hydrochlorothiazide 25 mg Qd
Enalapril 5 mg Bid