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 BOF 46

 

   

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BOF: 46

A 26-year-old male presents with swelling of his body. He is found to have 4+ proteins in his urine

Further investigations reveal

Sodium 117 mmol/L

Potassium 5.3 mmol/L

Urea 4.6 mmol/L

Glucose 4.8 mmol/L

Plasma osmolality 286 mOsm/kg

Albumin 19 g/L

24-hour urinary protein 7.4 g

In this patient which one of the following tests would you arrange to determine the cause of his hyponatraemia?

a)      Lipid profile

b)        Urine osmolality

c)         Urinary excretion of sodium

d)        Short synacthen test

e)         TSH level

 

 

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