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PBL

PBL: End Stage Renal Disease

Theme: Love my cheesecake but hate my injections Keywords: 37 y/o woman visited nephrologist history of diabetes (since 15) & started on insulin injections (type 1) history of hypertension(2 years) & under control with Atenolol (B-blocker) Non compliant with her diet, insulin injections & doctor visits worried that might end up like mother with end…

PBL: Gigantism

Keywords: 12 year old student growing too tall too quickly (193cm) height increase last 2 years: 45cm gaining weight too excessively (over 150kg) occasional frontal headache (mass effect) need to pass urine frequently (too much AVP) visual acuity reduced High fasting blood sugar level High serum IGF-1 level High serum GH level High prolactin (stalk…

PBL: Nephrogenic Diabetes Insipidus

Keywords: 28 y/o female marketing executive thirsty often urinate frequently ongoing: 3 months drinks 8-16 glasses of water & several cans of juice in 2-3 hours consumes caffeine-free drinks & non-alcoholic drinks only tried limiting fluid intake – no improvement otherwise healthy, no past medical history Sodium high Osmolality high Water deprivation test – urine…

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