Name: James Stokes

Theme: Sodium handling

OPTION LIST

A	SIADH	I	Primary hyperparathyroidism
B	Cranial Diabetes Insipidus	J	Cushings syndrome
C	Renal failure	K	Excess NaCl intake
D	Psychogenic polydipsia	L	Nephrogenic Diabetes Insipidus
E	Addisons disease	M	Cirrhosis of the liver
F	Diuretic excess	N	Acute tubular necrosis
G	Heart Failure	O	Conn’s syndrome
H	Hyperglyaemia	P	Allport’s syndrome

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 33 year old female presents with polydipsia and polyuria. She reported her urine as being very pale, almost like water. Her only previous medical history is removal of a pituitary tumour 8 months ago.

2. A 33 year old female presents with polydipsia and polyuria. She also complains of very pale watery urine. She is found to have normal levels of ADH and mentions she remembers something similar happening to her mum before she died.

3. A 43 year old merchant banker presents with muscle cramps and weakness. His friends have commented that his personality has changed recently and that he should cut down on his drinking. On examination he is found to have clubbing and 8 spider naevi.

4. A 15 year old girl presents with a headache, nausea, and lethargy. She is eager to get back to ballet class but her mother is anxious to get her seen. On examination she appears normal but has a BMI of 18.

5. A 24 year old female presents with thirst, and confusion. On examination she is found to have a BP of 160/110. Her potassium level is found to be 2.2mmol/L.

ANSWERS

1. B

2. L

3. M

4. F

5. O