Case 6-2022: A 68-Year-Old Man with Fatigue, Weight Loss, and HyperglycemiaCase 6-2022: A 68-Year-Old Man with Fatigue, Weight Loss, and Hyperglycemia

Case 6-2022: A 68-Year-Old Man with Fatigue, Weight Loss, and Hyperglycemia

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A 68-year-old man with metastatic melanoma was evaluated in the oncology clinic because of fatigue and weight loss. Hypothyroidism had been noted 4 months earlier; increased thirst and nocturia had developed 2 weeks earlier. The blood glucose level was 505 mg per deciliter (reference range, 70 to 110). Management decisions were made.

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