Last updated on: May 22nd, 2022

Hi there!

You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.



View details

A 49-year-old woman presents with palpitations, tremors, excessive sweating, fatigability, and insomnia for two months. She lost five kilograms of weight during this time. She did not seek medical attention for her symptoms. She was diagnosed with type 2 diabetes mellitus three years ago. This is well controlled on diet, exercise, and oral metformin 850 mg daily. She has no microvascular or microvascular complications. She is not on any other medications. Her surgical and gynecological histories are unremarkable. Her menopause took place two years ago. She is a professional (and popular) singer. Her random plasma glucose is 134 mg/dL (normal: <180 mg/dL). Serum electrolytes and a renal profile are within normal parameters. A 12-lead ECG reveals sinus tachycardia.

Want to continue playing?

Subscribe to Clinical Odyssey today.
  • Enjoy unlimited access to 700+ learning modules.
  • Safely improve your skills, anytime and anywhere.
  • Get answers to your follow-up questions from practicing physicians.
Learn more ➜