Solve this exciting clinical case specific to your field of interest via Docplexus' Clinical Case Challenge. Join your fellow doctors to discuss and answer today's challenge . Case presentation A 57-year-old male patient, who was obese and diagnosed with type 2 diabetes two years ago, visited the hospital for a routine follow-up. He also had hypothyroidism, was a chain smoker and a heavy alcoholic; however, he had stopped drinking for the last two years.
Physical examination Height: 5.8 feet Weight: 115 kg Blood pressure: 168/100 mmHg Pulse: 84 beats/min There were no clinical signs of retinopathy, thyromegaly, congestive heart failure, or peripheral vascular disease. Laboratory examination Trace proteins were identified in urine analysis. Blood urea nitrogen: 14 mg/dl Serum creatinine: 1.2 mg/dl Random serum glucose: 169 mg/dl Urinary albumin excretion rate: 250 mg/day (normal: 0 to…
