An 8-week-old term boy is brought to the office due to increased confusion and poor weight gain. The patient has several wet diapers per day. His anterior fontanelle is flat and mucous membranes are dry. Laboratory results include the following: increase sodium and antidiuretic hormone level. Urinalysis shows a specific gravity of 1.002. Which of the following is the most appropriate treatment for this patient's condition?

Question

An 8-week-old term boy is brought to the office due to increased confusion and poor weight gain.  The patient has several wet diapers per day.  His anterior fontanelle is flat and mucous membranes are dry.  Laboratory results include the following: increase sodium and antidiuretic hormone level. Urinalysis shows a specific gravity of 1.002.  Which of the following is the most appropriate treatment for this patient's condition?

Quizplus · Accepted Answer

Eductional Objective: Nephrogenic diabetes insipidus is characterized by polyuria, dilute urine (low urine specific gravity), hypernatremia, and high antidiuretic hormone.  Treatment includes thiazide diuretics and replacement of water losses.

An 8-Week-Old Term Boy Is Brought to the Office Due