BOF: 34
A fifty –five year old male presents with a history of
anorexia, nausea and vomiting and abdominal pain.
His skin is pigmented with pigmentation of palmar
creases and sun exposed areas. He has a few patches of vitiligo. His blood
pressure is low and there is a postural drop.
In this patient the blood urea and electrolytes are
likely to show the following
a)
Decreased Na, Decreased K, Normal Urea
b)
Decreased Na, Increased K, Increased Urea
c)
Decreased Na, Increased K Normal Urea
d)
Increased Na, Decreased K, Increased Urea
e)
Decreased Na, Decreased K, Increased Urea
Answer:
b)
The patient has Addison’s disease. The Na will be low
with and increase in K and increase in blood urea.
