 Qualitative Suicide Assessment.  Suicide assessment is an ongoing

A patient presents with dehydration, hypotension, and fever. Laboratory testing identifies hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms and hyperpigmentation, weakness, anorexia, fatigue, and weight loss. The next step in the evaluation of this patient is to: A – perform a thorough history and physical exam, and to check serum cortisol and ACTH levels. O B – perform a diet history and recheck electrolytes, CBC, and fasting blood glucose in 2 weeks. O C – refer for a nutritional assessment and consider referral for a central line to replace fluid and electrolytes. O D – replace mineralocorticoids with supplementation and educate the patient about the etiology.

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