Post-mortem 1

Question 1

7yr F, wetting the bed, PMH: polydipsia & Polyuria- CASE 1

Answer 1

.

Question 2

polydipsia?

Answer 2

drinking too much

Question 3

polyuria?

Answer 3

peeing too much

Question 4

1) first thoughts?

Answer 4

UTI from renal tract abnormality
diabetes
psychological

Question 5

1) explain this case of diabetes?

Answer 5

increased GLC 
> GLC not absorbed by cells 
> GLC in urine 
> creates osmotic drag 
> increases H2O drawn into urine
> more urine passed 
> drinking too much

Question 6

1) tests?

Answer 6

bloods - GLC, GLC tolerance, glycated haemoglobin

urine dipstick

Question 7

1) glycated haemoglobin in diabetics?

Answer 7

HBA1c is constantly elevated

Question 8

1) BG test - when to do it?

Answer 8

during post-absorptive phase - i.e. fasting

Question 9

what is CAPD and what’s it used to treat?

Answer 9

Continuous Ambulatory Peritoneal Dialysis - treats chronic renal failure

Question 10

what is frank pus?

Answer 10

white - due to presence of WBCs