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A patient's lab values show an increase in sodium, potassium, chloride, and protein. What is the most likely diagnosis?

a) Nephrotic syndrome
b) Dehydration
c) SIADH
d) Diabetes insipidus

asked
User AFrieze
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1 Answer

1 vote

Final answer:

The increase in sodium, potassium, chloride, and protein is most consistent with dehydration, where water content decreases relative to solutes in the blood.

Step-by-step explanation:

The patient's lab values show an increase in sodium, potassium, chloride, and protein. This constellation of lab findings is most consistent with dehydration. In dehydration, there is less water content relative to solutes in the blood leading to elevated levels of electrolytes and protein concentration. Conditions such as nephrotic syndrome would typically present with low serum albumin due to protein loss in urine, rather than an increase. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) would not present with high sodium levels as it causes dilutional hyponatremia. Lastly, diabetes insipidus is characterized by low levels of antidiuretic hormone, leading to large volumes of diluted urine (polyuria), which may lead to dehydration, but it doesn't directly result in an increase in the lab values mentioned as in SIADH.

answered
User Digiben
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8.3k points
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