Conversation: The conversation between human and AI assistant.
[|Human|] a boy 16 yrs . presents with h/o severe headache,irritability,appetite excess or low,occasional heavy perspirationpain abdomen off and on.clinically nothing significant found. invest. mri brain ,cerebral angio ruledout any neuro problem.hemodynamices and thyroid function normal.usg abd. reveales rt. pu junction narrowing with hydronephrosis . what next investigations may be done?what may be the probable diagnosis?pl. reply>
[|AI|]  HAI.with most of the stronger investigation done already your neurological, abdominal system look normal.my strong suspicion is regarding juvenile diabetes (idem), or any kidney disorder. U can go for these investigations:fasting blood sugars, HAC, post radial levels, serum creatinine, blood urea, Ct pub to rule any obstructionSerum electrolytes, Most probably the diagnosis could be kidney parenchymal disease, relating to diabetes. Good luck take care