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A 32-Year-Old Primigravida at 16 Weeks Gestation Comes to the Office

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A 32-year-old primigravida at 16 weeks gestation comes to the office due to urinary frequency and increased thirst.  Although she limits fluids before bed, she still urinates 6-8 times a night.  The patient previously had intermittent urinary frequency, but symptoms have worsened since she became pregnant.  Family history is significant for type 2 diabetes mellitus in her mother and father.  Vital signs are within normal limits.  Examination shows no abnormalities.  Laboratory results are as follows: A 32-year-old primigravida at 16 weeks gestation comes to the office due to urinary frequency and increased thirst.  Although she limits fluids before bed, she still urinates 6-8 times a night.  The patient previously had intermittent urinary frequency, but symptoms have worsened since she became pregnant.  Family history is significant for type 2 diabetes mellitus in her mother and father.  Vital signs are within normal limits.  Examination shows no abnormalities.  Laboratory results are as follows:   A 24-hour urine collection shows a urine output of 5.5 L after an intake of 2 L.  What is the most likely cause of this patient's urinary frequency? A) Diabetes insipidus B) Gestational diabetes mellitus C) Normal pregnancy changes D) Osmotic diuresis due to urea E) Urinary tract infection A 24-hour urine collection shows a urine output of 5.5 L after an intake of 2 L.  What is the most likely cause of this patient's urinary frequency?

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Definitions:

Class Width

The difference between the upper and lower boundaries of any class (or category) in a frequency distribution.

Frequencies

A rephrased definition: The rate or number of times a particular data value or event occurs within a specific data set or sample.

Data Set

A collection of related data points or information, organized in a structured manner, used for analysis or computation.

Classes

Categories or groups into which data or objects are organized based on shared characteristics or properties.

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