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A 54-Year-Old Man with a Lung Tumor Has High Circulating 260mOsm/L260 \mathrm{mOsm} / \mathrm{L}

Question 76

Multiple Choice

A 54-year-old man with a lung tumor has high circulating levels of antidiuretic hormone (ADH) , a serum osmolarity of 260mOsm/L260 \mathrm{mOsm} / \mathrm{L} , and a negative free-water clearance (CH2O) \left(\mathrm{C}_{\mathrm{H}_{2} \mathrm{O}}\right) . Which diagnosis is correct?


A) Primary polydipsia
B) Central diabetes insipidus
C) Nephrogenic diabetes insipidus
D) Water deprivation
E) Syndrome of inappropriate antidiuretic hormone (SIADH)

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