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Lab:
Na 135
Cl 108
K 2.8
HCO3 21
Urine pH 7
Young patient with generalized weakness and nocturnal leg cramps. Dx?
1. Renal tubular acidosis
2. Hyporeninemic hypoaldosterone
3. Adrenal insufficiency
4. None of the above
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hyperchloremic hypokalemic mettabolic alkalosis so ans is
renal tubular acidosis
in 2 there will be hyperkalemia and acidosis
3 also
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You mean metabolic acidosis not alkalosis!
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this looks like hypokalemic periodic paralysis . so my answer is 4
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yes, it is acidosis, looks like renal(urine pH). (in 2 and 3 ther will be hyperkalemia).
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hyperchliremic hyopokalemic acidosis type 1/distal tubular nonanion gap acodosis
my apology for writing acidosis
rx is potassium citrate
this type 1 acidosis is related to nephrolithiasis as a complication
the causes arehereditary sickle lithium autoimmune/ cirrosis
look at the anion gap may20
thanks
it is related to h secreation