156) A 25 year old woman presents to your office with complaints of muscle cramps and weakness. On examination, she is afebrile, heart rate is 88/min and blood pressure is 150/98. Ophthalmoscopic examination shows the following :
Laboratory investigations reveal a Sodium of 144 meq/L, potassium of 3.0meq/L, Chloride 98meq/L , Bicarbonate of 34meq/L and Creatinine of 0.8mg%. Urinary chloride is 45meq/L. The most likely diagnosis that explains this patient’s clinical features :
A) Gitelman’s syndrome
B) Chronic Laxative abuse
C) Diuretic Abuse
D) Primary Hyperaldosteronism
E) Bartter’s syndrome
e
a?
HTN +nt which r/o barrter
d?
primary hyperaldosteronism
D..?
Ans D.
Most patients of bartter and gitelman syndrome have low or low-to-normal blood pressure. They may show signs of volume depletion.
D
ddd