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1) An 18 year-old woman presents with acute muscle weakness. She has had several previous episodes that resolved spontaneously. On exam BP 96/54 Wt 58 kg Ht 70”.
1) An 18 year-old woman presents with acute muscle weakness. She has had several previous episodes that resolved spontaneously. On exam BP 96/54 Wt 58 kg Ht 70”.
Labs:
Na 135 Cl 99 BUN/creatinine 8/0.5
K 2.9 Bicarb 28
24 hour urine lytes:
Na 40 K 45 Cl 95
Which of the following are compatible with the clinical presentation?
Primary hyperaldosteronism
Surreptitious amiloride use
Gitelman’s syndrome
Surreptitious laxative abuse
Hypokalemic periodic paralysis