08-16-2014, 03:45 PM
A 14-year-old girl is brought to the emergency department by her parents, who are very concerned about her behavior. The patient refuses to give any history. Laboratory tests show:
Na+: 132 mEq/L
K+: 3.1 mEq/L
Cl-: 90 mEq/L
Glucose: 115 mg/dL
Blood urea nitrogen: 30 mg/dL
Creatinine: 0.8 mg/dL
Her serum amylase level is mildly elevated, and arterial blood gas analysis shows metabolic alkalosis. Her erythrocyte sedimentation rate is within normal limits.
Which of the following is the most likely diagnosis?
127150 : handeep
A.Anorexia nervosa
B.Bartter's syndrome
C.Bulimia nervosa
D.Crohn's disease
E.Syndrome of inappropriate ADH secretion
Na+: 132 mEq/L
K+: 3.1 mEq/L
Cl-: 90 mEq/L
Glucose: 115 mg/dL
Blood urea nitrogen: 30 mg/dL
Creatinine: 0.8 mg/dL
Her serum amylase level is mildly elevated, and arterial blood gas analysis shows metabolic alkalosis. Her erythrocyte sedimentation rate is within normal limits.
Which of the following is the most likely diagnosis?
127150 : handeep
A.Anorexia nervosa
B.Bartter's syndrome
C.Bulimia nervosa
D.Crohn's disease
E.Syndrome of inappropriate ADH secretion