Hypertension, Hypernatremia, Hypokalemia, and Hyporeninemia! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-01-2011
USMLE Forums Master
 
Steps History: Not yet
Posts: 674
Threads: 264
Thanked 963 Times in 394 Posts
Reputation: 973
Send a message via Yahoo to ricko335
Question Hypertension, Hypernatremia, Hypokalemia, and Hyporeninemia!

A patient with hypertension, hypernatremia, hypokalemia, and increased generalized edema is found to have a decreased serum renin. Which one of these conditions is consistent with such a state?
A. Nephritic syndrome
B. Cirrhosis
C. Congestive heart failure
D. Adrenocortical adenoma
E. Nephrotic syndrome
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (08-01-2011), dr.tasneem (08-01-2011), jahn77 (08-01-2011), rulz (08-01-2011), star123 (08-02-2011), usluipek (08-01-2011), usmle2011 (08-02-2011)



  #2  
Old 08-01-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,269 Times in 881 Posts
Reputation: 3279
Default

D. Adrenocortical adenoma
Reply With Quote Quick reply to this message
  #3  
Old 08-01-2011
USMLE2011m's Avatar
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 277
Threads: 36
Thanked 159 Times in 95 Posts
Reputation: 169
Default

D. adenoma of the adrenal cortex.
Reply With Quote Quick reply to this message
 
  #4  
Old 08-01-2011
pass7's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS+3
Posts: 406
Threads: 30
Thanked 141 Times in 109 Posts
Reputation: 151
Default

D. Adrenocortical adenoma.
Reply With Quote Quick reply to this message
  #5  
Old 08-01-2011
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 567
Threads: 25
Thanked 524 Times in 263 Posts
Reputation: 534
Default

The answer is D, The patient may have a "Adenoma of the Glomeruola LAyer hypersecretion of Aldosterone, this patient is exhibit a classic sign of Conn Syndrome. Which helps to distinguish from the secondary aldosteronism because renin levels are LOW, in the secondary is HIGH.

Balance

* High NA Some times can be normal, because there's rls of BNP and ANP which makes lose Sodium and water.
* HTA
* Low K
* PH High ( Alkalosis )
* Low CA* Trosseuau sign.

=)
Reply With Quote Quick reply to this message
The above post was thanked by:
Abdulaziz (08-04-2011)
  #6  
Old 08-01-2011
drnirajmavani's Avatar
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 268
Threads: 14
Thanked 103 Times in 69 Posts
Reputation: 113
Default

D). Adrenocortical adenoma causing primary hyperaldosteronism
Reply With Quote Quick reply to this message
  #7  
Old 08-01-2011
USMLE2011m's Avatar
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 277
Threads: 36
Thanked 159 Times in 95 Posts
Reputation: 169
Default

Quote:
Originally Posted by rulz View Post
The answer is D, The patient may have a "Adenoma of the Glomeruola LAyer hypersecretion of Aldosterone, this patient is exhibit a classic sign of Conn Syndrome. Which helps to distinguish from the secondary aldosteronism because renin levels are LOW, in the secondary is HIGH.

Balance

* High NA Some times can be normal, because there's rls of BNP and ANP which makes lose Sodium and water.
* HTA
* Low K
* PH High ( Alkalosis )
* Low CA* Trosseuau sign.

=)
- please find the thumbnail giving an overwiew
Attached Thumbnails
Hypertension, Hypernatremia, Hypokalemia, and Hyporeninemia!-usmletable.gif  
Reply With Quote Quick reply to this message
The above post was thanked by:
ricko335 (08-02-2011)
  #8  
Old 08-01-2011
USMLE Forums Addict
 
Steps History: Not yet
Posts: 151
Threads: 39
Thanked 52 Times in 29 Posts
Reputation: 62
Star D

D. Adrenocortical adenoma

Its Primary hyperaldosteronism.
Reply With Quote Quick reply to this message
  #9  
Old 08-01-2011
dr.tasneem's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 29
Threads: 0
Thanked 7 Times in 6 Posts
Reputation: 17
Post D

d.adrenocortical adenoma
Reply With Quote Quick reply to this message
  #10  
Old 08-01-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS+3
Posts: 65
Threads: 13
Thanked 41 Times in 19 Posts
Reputation: 51
Default

d. adrenocortical adenoma
Reply With Quote Quick reply to this message
  #11  
Old 08-01-2011
akua's Avatar
USMLE Forums Addict
 
Steps History: Not yet
Posts: 167
Threads: 0
Thanked 31 Times in 31 Posts
Reputation: 41
Default

D. Adrenocortical adenoma
Reply With Quote Quick reply to this message
  #12  
Old 08-02-2011
mayursn39's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 189
Threads: 20
Thanked 506 Times in 99 Posts
Reputation: 516
Default

Adrenocortical adenoma= Conns syndrome ?
if yes then all of the features will be present but u will not see generalized edema due to escape mechanism.(pg 65 Goljan RR)

Reply With Quote Quick reply to this message
  #13  
Old 08-02-2011
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 512
Threads: 57
Thanked 319 Times in 163 Posts
Reputation: 329
Default

D. Adrenocortical adenoma
Reply With Quote Quick reply to this message
  #14  
Old 08-02-2011
USMLE Forums Veteran
 
Steps History: ---
Posts: 254
Threads: 21
Thanked 43 Times in 39 Posts
Reputation: 53
Default

its d - adrenocortical adenoma
Reply With Quote Quick reply to this message
  #15  
Old 08-02-2011
USMLE Forums Master
 
Steps History: Not yet
Posts: 674
Threads: 264
Thanked 963 Times in 394 Posts
Reputation: 973
Send a message via Yahoo to ricko335
Correct Answer

Hypertension, hypernatremia, hypokalemia, and generalized edema are found in hyperaldosterone states. To differentiate between primary versus secondary hyperaldosteronism, one needs to measure serum renin levels. Of the above answers, only adrenocortical adenomas are consistent with a primary (low renin level) state of hyperaldosterone.
Reply With Quote Quick reply to this message
The above post was thanked by:
Abdulaziz (08-04-2011), akua (08-02-2011), star123 (08-03-2011)






Reply

Tags
Endocrine-, Pathology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Hypokalemia Mnemonic mosallam USMLE Step 2 CK Mnemonics 8 04-19-2017 05:29 PM
B blocker hypoglycemia and hypokalemia 1TA2B USMLE Step 2 CK Forum 2 03-17-2011 03:57 PM
Why Hypokalemia in Salicylate Poisoning? wasim USMLE Step 1 Forum 9 09-24-2010 08:45 AM
Why hypokalemia in B12 Therapy Homer88 USMLE Step 2 CK Forum 4 09-22-2010 06:56 AM
Hypovolumic Hypernatremia FSUSTC USMLE Step 2 CK Forum 2 05-09-2010 10:13 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)