• Online Features  This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Surgery  • Surgical Interventions  • Endocrine Surgery  • Alert me on articles by topic  Social Bookmarking   What's this?

Brian K. P. Goh, MBBS, MRCS, MMed (Surgery); Yeh-Hong Tan, MBBS, FRCS; Jane Tran, MBBS, FRACP; Sidney K. H. Yip, MBBS, FRCS; Christopher W. S. Cheng, MBBS, FRCS

Arch Surg. 2007;142(11):1103.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A 56-year-old woman was referred with a history of poorly controlled hypertension of 5 years associated with hypokalemia, with potassium levels ranging from 2.1 to 3.0 mEq/L (the conversion from milliequivalents per liter to millimoles per liter is 1:1). Despite treatment with 2 mg of prazosin hydrochloride twice daily and 100 mg of atenolol every morning, her blood pressure remained elevated at 150/100 mm Hg. Her potassium levels could only be maintained at 3.5 mEq/L with 1200 mg of potassium replacement per day. Biochemical testing demonstrated a suppressed plasma renin activity of 150 pg/mL per hour (reference range, 660-3080 pg/mL per hour; to convert picograms per milliliter to picomoles per liter, multiply by 0.0237) and an elevated plasma aldosterone concentration of 33.2 . . . [Full Text of this Article]

What Is the Diagnosis?

Author Affiliations: Departments of Surgery (Dr Goh), Urology (Drs Tan, Yip, and Cheng), and Endocrinology (Dr Tran), Singapore General Hospital, Singapore.

CiteULike    Connotea    Delicious    Digg    Facebook    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Image of the Month—Diagnosis
Arch Surg. 2007;142(11):1104.
EXTRACT | FULL TEXT