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IMG SURVIVOR
04-04-2006, 02:43 PM
You have a 32 year old male in you practice complaining of head aches, and also feeling like worms are walking in his arms and legs. You find that his vision is ok but is blood pressure is 160/90, the lab report says that he has 200mEq/L of sodium, 3.0 mEq/L of potassium and his renin levels are low.


- In the test I dont think they will put it so easy, but this is the basics.


1- tell me What cells are responsible of the feeling worms in this patient?










First you HAVE to know the normal values for sodium is from 135-147 and for potasium is form 3.5-5 a course it depends what book you read this is from FA.

He has Conns syndrome yes I know it wil have low levels of renin and the other calssic findings and that he has elevated ALDOSTERONE.

now about the feeling worms is because of low levels of potasium and aldoterone will act in the principal cells of the kidney.


Any corrections or to add anything please do so

elektra
04-04-2006, 03:03 PM
Aldosterone functions

1-Increase Na reabsortion in pricipal cells (water follows the sodium)
2-Increase K secretion by principal cells
3- Increase H secretion by intercalated cells
4- Increase Na reabsortion in epithelial cells of large inestine , sweat glnds and salivary glnds
:shock:

elektra
04-04-2006, 03:04 PM
Aldosterone functions

1-Increase Na reabsortion in pricipal cells (water follows the sodium)
2-Increase K secretion by principal cells
3- Increase H secretion by intercalated cells
4- Increase Na reabsortion in epithelial cells of large inestine , sweat glnds and salivary glnds

This means that Aldosterone regulates the total body sodium
:shock:

md90
04-04-2006, 09:36 PM
What is the another name for Conn's Syndrome?
Primary aldosteronism

Often caused by a benign adenoma in the zona glomerulosa;

may also see metabolic alkalosis and tetany;

treatment may include spironolactone, potassium-sparing diuretic, working as aldosterone antagonist.

student-2
05-01-2006, 08:14 AM
Conns is the only type of hypertension treatable with surgery

IMG SURVIVOR
05-01-2006, 01:03 PM
and what about pheochromacytoma, you give medicatios too like conns to control but also in pheo you may due surgeey to correct the problem







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