Question

The following lab results were reported for a 15-year-old male. His mother told the physician the he had lost weight recently even though his appetite and thirst had increased dramatically. She also said she believed her son to be extremely fatigued because he would get up to use the bathroom in the middle of the night.

Plasma	Urine
Glucose: 165 (80-150 mg/dL) (fasting)	Specfic Gravity: 1.040
Sodium: 139 (135-145 mEq/L)	pH: 6.5
Potassium: 4.2 (3.0-5.0 mEq/L)	Glucose: 4+
Chloride: 102 (98-103 mEq/L)	Ketones: Moderate
CO2: 29 (22-27 mmol/L)	Proteins: 2+

1. What likely condition do the results indicate (be specific by type)? Provide support for a presumptive (primary) diagnosis and an alternative diagnosis.
2. Which of the above parameters indicates the condition and why?   Describe the lab tests used to formulate your diagnoses. Be sure to cite the materials used.
3. What other blood tests might the physician order and why? Describe any additional testing that would be used.

Answer 1

1. The reports indicate Diabetic ketoacidosis ,because his fasting glucose is above normal, polyphagia , polyuria and polydipsia , increased CO2, and metabolic acidosis . Primary diagnosis is diabetes and alternative diagnosis is Diabetic ketoacidosis.

2. The parameters which indicates the condition are :-

Glucose fasting

CO2

Acidosis

3. The test done are CBC ,LFT/RFT and Urine test

4. Other blood test which is main is ABG because it will give you the accurate answer . Additional testing - HBA1C .