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  #1  
Old 10-30-2010
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Question question - hypertension and tetany

INPATIENT/ ER/ CLINIC/ OTHER – clinic
PATIENT PROFILE - 40 yo male, presents with muscle weakness and tetany, physical exam reveals diastolic hypertension, labs reveal mild hypernatremia, hypokalemia, and metabolic alkalosis; no pitting edema, no volume depletion
QUESTION – diagnosis, most likely?

A addison’s ds
B primary aldosteronism
C chronic renal failure
D renal tubular acidosis type 1
E loop diuretic side effects
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  #2  
Old 10-30-2010
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The questions you are posting are not for Step 1, these are for Step 2 CK or even Step 3.
Which bank are you copying from?
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Old 10-30-2010
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i think that would be

B primary aldosteronism
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Old 10-30-2010
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Ans – primary aldosteronism
Metabolic alkalosis causes tetany
Mechanism of tetany is as follows – alkaline pH increases number of negatve charges on albumin, hence more of free ionized calcium can be bound to albumin. The total calcium remains the same but ionized calcium is decreased causing tetany

@laithbv - i m not copying from anywhere. i am manufacturing my own questions keeping focus on answer
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