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RUNNING HEAD: I-HUMAN CASE STUDY

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RUNNING HEAD: I-HUMAN CASE STUDY i-Human case study. Assessment: The patient presented increased fatigue over the last few days, increased thirst which subsequently causes increased urination, m... uscle weakness, and muscle cramps. The patients also experienced numbness, headaches, and constipation. Upon completion of the assessment, it appeared that the patient experienced uncontrolled hypertension, chronic kidney disease, renal artery thrombosis, Conn’s syndrome, Cushing syndrome, or Pheochromocytomas. However, it was significant to complete lab work to obviate any other cause of the presented symptoms. Blood samples were withdrawn in the morning to test for Hyperaldosteronism because the aldosterone and renin hormones level is highly detectable at this time. A cortisol urine test was also performed so as to determine the amount of cortisol in the urine for conclusive diagnosis. Results: The cortisol results indicated plasma renin activity and sodium ions, Na+ with as value of 3. The Metanephrines levels in the urine were at the level of 1 in mg/24hr units under a reference range of <1.3. In low dose (value of 1), the plasma range was less that 18 while high dose there was more that 60% reduction in plasma cortisol. Aldosterone Concentration (PAC) had a value of 66 in ng/dl units in the reference range of 1.1 -31.0 standing: < 16.0 recumbent. Potassium, sodium, chlorine, and carbon dioxide at 148, 3.1, 101, and 27mmol/L respectively; glucose, urea nitrogen, creatinine, and calcium at 99, 13, 0.9, and 2.7 mg/dl respectively. Interpretation: Low probability of renal artery thrombosis or parenchymal renal disease. Diagnosis: After ruling out pathological reasons for the symptoms presented by the patient, a conclusive diagnosis was achieved. Primary Hyperaldosteronism (Conn’s syndrome) and [Show More]

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