Case 1
Based on Felicia’s history and physical examination findings, you decide to collect a minimum database consisting of a CBC, serum chemistry panel, and urinalysis.
Laboratory results
These are the notable findings from your CBC, serum chemistry panel, T4 determination, and urinalysis.
CBC
Stress leukogram, mildly elevated PCV
Serum chemistry panel
Patient values
Reference range
Sodium (mEq/L)
128
146-156
Potassium (mEq/L)
6.2
3.7-6.1
Glucose (mg/dl)
431
60-120
Cholesterol (mg/dl)
310
71-156
Urinalysis
Specific gravity
1.020
pH
7.0
Glucose
3+
Ketones
Negative
Protein
Negative
WBC
0-1/hpf
RBC
1-3/hpf
T4 level is 1.2 µg/dl (reference range: 1-4 µg/dl)
QUESTION 2
What is the most likely diagnosis?
d) Neoplasia
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