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 Best of Five 3.16

 

   

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BOF: 3.16

A 39-year-old Asian male is admitted with a history of vomiting and abdominal pain. The patient has been unwell and anorexic for some time prior to admission. On examination the patient looks unwell, is febrile, tachycardic and hypotensive. The skin is pigmented and lacks turgor and the eyes look sunken. The buccal mucosa, and skin creases are pigmented. The abdomen feels rigid.

Investigations reveal an elevated blood urea with low serum sodium and high serum potassium. There is hypercalcaemia and hypoglycaemia.

The feature that will help to differentiate primary glandular failure from secondary glandular failure is:

a)      Hyperkalaemia

b)      Elevated eosinophil count

c)      Anaemia

d)      Fever

e)     Hypoglycaemia

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