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Endokrin-Metabolik

Laki-laki usia 35 tahun datang ke poli penyakit dalam dengan keluhan sering haus dan BAK dalam jumlah banyak sejak 6 bulan terakhir. Pasien memiliki riwayat gangguan bipolar dan mengonsumsi litium selama 4 tahun. Urine output tercatat 8 liter per hari. Hasil laboratorium menunjukkan natrium serum 152 mEq/L, osmolalitas serum 310 mOsm/kg, dan osmolalitas urine 90 mOsm/kg. Uji coba desmopresin tidak menunjukkan peningkatan osmolalitas urine.

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