Ferreira-Hermosillo A, Bernal-Garduño J, Hernández-García I, Molina-Ayala M

Language: Spanish
References: 5
Page: 194-196
PDF size: 239.64 Kb.

ABSTRACT

The medical approach of a patient with muscular weakness should include a search for endocrine conditions. We present the case of a young man with hypokalemia, hypertension and metabolic alkalosis with suspicion of primary hyperaldosteronism. The diagnostic process includes determination of aldosterone to renin ratio as a screening test under normokalemic conditions and with an adequate blood pressure control. Diagnosis confirmation includes oral sodium loading test, saline infusion test and fludrocortisone suppression test. Finally, computed tomography is the most widely used imaging test. The main objective of management is to prevent the morbidity and mortality associated with hypertension and hypokalemia.

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