BOF: 81
A 26 year old female is admitted
following a seizure. She is a psychiatric patient but the friend who
accompanied her to hospital is unable to tell you what medication she is on.
There are no physical signs of note
Investigations
Urea 1.3 mmol /L
Creatinine 55 µmol/L
Sodium 110 mmol/L
Potassium 3.3 mmol/L
Glucose 4.0 mmol/L
Plasma osmolality 250 mOsm/kg
Urine osmolality 80 mOsm/kg
Urine sodium 12 mmol/L
In this patient what is the likely
diagnosis?
a)
Compulsive water drinking
b)
SIADH
c)
Addison’s disease
d)
Cranial diabetes insipidus
e)
Nephrogenic diabetes insipidus