You are seeing a 44-year-old male patient who has presented to A&E with muscle weakness and headaches. His observations are as follows: BP 155/89, HR 80, RR 17, O2 saturations 100% on room air and a temperature of 37.4 degrees. You run a blood test and the results are as follows:
|
Blood test |
Result |
Normal value |
|
Hb |
154g/L |
130-180g/L |
|
MCV |
93fL |
80-100fL |
|
WCC |
9.6 x 109/L |
3.6-11.0 109/L |
|
Na+ |
140mmol/L |
133-146mmol/L |
|
K+ |
3.1mmol/L |
3.5-5.3mmol/L |
|
Ca2+ (adjusted) |
2.4mmol/L |
2.2-2.6mmol/L |
|
Urea |
3.9mmol/L |
2.5-8.8mmol/L |
What is the most likely diagnosis?
