Clinical Focus
Business Focus
Spotlight
Subscribe
CE/CME
- CDC News
- Adult Immunization
- Hepatology
- Rare Disorders
- Pediatric Immunization
- Weight Management
- Screening
- Psychiatry
- Allergy
- Women's Health
- Cardiology
- Pediatrics
- Kidney Disease
- Dermatology
- Endocrinology
- Pain Management
- Gastroenterology
- Geriatrics
- Infectious Disease
- Orthopedics
- Obesity Medicine
- Rheumatology
- Technology
- Oncology
- Nephrology
- Neurology
- Pulmonology
Seen in the ED: Generalized Weakness
Persistent generalized weakness and decreased oral intake bring a man in his early 60s with hx of thyroid cancer to the ED. Do ECG and labs suggest a diagnosis?
Patient history: A man in his early 60s with a history of thyroid cancer and a recent admission presents to the hospital for 4 days of generalized weakness and decreased oral intake. He denies any pain, palpitations, vomiting, diarrhea, focal weakness, syncope, trauma or other complaints.
Vital signs and physical examination: Vital signs are normal except for a soft blood pressure of 102/52 mm Hg and a pulse of 118 beats/min. Initial physical exam is otherwise normal except for dry mouth.
Initial diagnostic testing:
- ECG: sinus tachycardia, no S1Q3T3
- Labs: BUN/Cr 65/2.5, Na 126, Hb 14.6, WBC normal, UA elevated specific gravity but otherwise not impressive.
- Imaging: chest radiograph, no abnormality detected
What is the most likely diagnosis?
Related Content
