Question

A 25 year old male service member with blast-induced traumatic brain injury was recently admitted to the ER. This patient suffered from severe fatigue, dehydration, polydipsia, and polyuria. The only abnormal lab value found in the initial screening was a urine specific gravity of 1.003.

1. What disorder/disease process is most likely manifesting these symptoms in this patient?

2. What other lab test could be used to confirm your initial diagnosis?

3. What other symptoms that may be associated with this condition?

4. Describe the likely physiological cause of this condition.

Answer 1

1.

Signs and indications of psychological maladjustment can change, contingent upon the confusion, conditions and different elements. Psychological instability side effects can influence feelings, considerations and practices.

Models of signs and side effects include:

1. Feeling dismal or down
2. Confused considering or diminished capacity to think
3. Excessive apprehensions or stresses, or extraordinary sentiments of blame
4. Extreme mind-set changes of highs and lows
5. Withdrawal from companions and exercises
6. Significant tiredness, low vitality or issues resting
7. Detachment from the real world (fancies), suspicion or pipedreams
8. Inability to adapt to day by day issues or stress
9. Trouble comprehension and identifying with circumstances and to individuals
10. Alcohol or medication misuse
11. Major changes in dietary patterns
12. Sex drive changes
13. Excessive annoyance, antagonistic vibe or savagery
14. Suicidal considering

Now and then manifestations of a psychological wellness issue show up as physical issues, for example, stomach torment, back agony, migraine, or other unexplained a throbbing painfulness.

2.

On the off chance that it's presumed that you have growth, your specialist may arrange certain tumor blood tests or other lab tests, for example, an examination of your pee or a biopsy of a suspicious zone, to help direct the determination.

Except for blood growths, blood tests by and large can't totally tell whether you have tumor or some different noncancerous condition, however they can give your specialist signs about what's happening inside your body.

Since your specialist has requested disease blood tests to search for indications of malignancy, it doesn't imply that a tumor determination has been made and you have growth. Discover what your specialist may search for when malignancy blood tests are finished.

3.

Basic signs and manifestations of Graves' ailment include:

1. Nervousness and crabbiness
2. A fine tremor of your hands or fingers
3. Warmth affectability and an expansion in sweat or warm, clammy skin
4. Weight reduction, in spite of ordinary dietary patterns
5. Amplification of your thyroid organ (goiter)
6. Change in menstrual cycles
7. Erectile brokenness or lessened moxie
8. Visit solid discharges
9. Swelling eyes (Graves' ophthalmopathy)
10. Weakness
11. Thick, red skin generally on the shins or highest points of the feet (Graves' dermopathy)
12. Fast or unpredictable heartbeat (palpitations)

Around 30 percent of individuals with Graves' ailment give a few hints and side effects of a condition known as Graves' ophthalmopathy. In Graves' ophthalmopathy, aggravation and other insusceptible framework occasions influence muscles and different tissues around your eyes. The subsequent signs and side effects may include:

1. Swelling eyes (exophthalmos)
2. Lumpy sensation in the eyes
3. Weight or torment in the eyes
4. Puffy or withdrew eyelids
5. Blushed or aggravated eyes
6. Light affectability
7. Twofold vision
8. Vision misfortune

4.

Coronary illness manifestations caused by powerless heart muscle (expanded cardiomyopathy)

In beginning times of cardiomyopathy, you may have no side effects. As the condition compounds, side effects may include:

1. Windedness with effort or very still
2. Swelling of the legs, lower legs and feet
3. Weariness
4. Unpredictable pulses that vibe quick, beating or shuddering
5. Dazedness, dizziness and swooning
6. Coronary illness indications caused by heart contaminations

Endocarditic is a contamination that influences the inward layer that isolates the chambers and valves of the heart (endocardium). Heart contamination indications can include:

1. Fever
2. Shortness of breath
3. Shortcoming or weakness
4. Swelling in your legs or mid-region
5. Changes in your heart mood
6. Dry or diligent hack
7. Skin rashes or abnormal spots

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