WEEKLY CASE #1

By Dr. Devanshu Pandey on

 A 24-year-old man presents to the OPD with complaints of generalized weakness, fatigue, and light-headedness for 2 days. He also reports decreased oral intake and excessive thirst. He has a history of recurrent headaches and has been on a medication for the same for the past 3 months. He is unable to recall the name of the drug but brings a partially torn wrapper with him. You are unable to identify the medicine in it, as its single piece of table.



On examination, he appears dehydrated.
Vital signs:

  • Blood pressure: 96/60 mmHg
  • Heart rate: 112/min
  • Respiratory rate: 20/min
Breath sounds were vesicular, and Bilateral Air Entry was present.
CVS examination showed S1 and S2 was present.
Neurological examination shows mild proximal muscle weakness. 


An intern was asked to perform Arterial blood gas analysis which showed:



What is the reason for the above findings of the patient?

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