,1
1
1 1
21
INTRODUCTION 1AND 1CLINICAL 1CONTEXT 1
Polyuria 1and 1polydipsia 1are 1common 1presenting 1symptoms 1in 1outpatient 1clinical 1practice
1and 1often 1signal 1underlying 1metabolic 1or 1endocrine 1dysfunction. 1Early 1identification 1and
1management 1are 1essential 1to 1prevent 1long-term 1complications. 1This 1case 1presents 1a 152-
year-old 1male 1evaluated 1in 1an 1outpatient 1clinic 1equipped 1with 1X-ray, 1ECG, 1and 1laboratory
1capabilities. 1
,1
1
1 1
31
CHIEF 1COMPLAINT 1AND 1HISTORY 1OF 1PRESENT 1ILLNESS 1
Robert 1Williams 1is 1a 152-year-old 1male 1who 1presents 1with 1excessive 1thirst 1and 1frequent
1urination 1for 1the 1past 1three 1weeks. 1He 1reports 1drinking 1large 1volumes 1of 1water 1throughout
1the 1day 1and 1waking 1multiple 1times 1at 1night 1to 1urinate. 1Symptoms 1have 1progressively
1worsened 1and 1are 1interfering 1with 1daily 1activities 1and 1sleep. 1