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Thirst and Polyuria
Where?:
GP’s office
Doctor’s name and Position:
Alison Pond and GP
Patient’s name:
Mr Simon Ramny
Age:
50
Marital status:
married
Presenting complaint:
polyuria, increased thirst, tiredness
Past medical history:
- sore throat 2 years ago
- smoker (15 cig a week)
- on Ramipril for high BP
- sedentary lifestyle
- bus driver
O/E:
- BP = 140/70
- 6 foot 1 + 17 stones and 6 pounds -> BMI = 32
Differential diagnosis:
- urinary infection
- prostate trouble
- diabetes
Further investigations:
- Bloodwork: prostate levels
- Urine sample
- Fasting blood glucose test
Results:
- PSA normal
- MSU normal
- Fasting blood sugar: 8mmol/l
Diagnosis:
Obesity + diabetes
Treatment:
- Diet and exercise
- Transient insulin or insulin secretagogue
- Patient information
Prognosis:
Follow-up appointment the following week