Question of electrolytes - whiteblue
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Question of electrolytes - whiteblue
|
03-15-2006, 03:45 PM
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
03-15-2006, 04:00 PM
hyperchloremic hypokalemic mettabolic alkalosis so ans is
renal tubular acidosis in 2 there will be hyperkalemia and acidosis 3 also
03-21-2006, 01:37 AM
this looks like hypokalemic periodic paralysis . so my answer is 4
03-21-2006, 02:14 AM
yes, it is acidosis, looks like renal(urine pH). (in 2 and 3 ther will be hyperkalemia).
03-21-2006, 05:30 AM
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 |
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