A 27-year-old male was admitted to the hospital for an adrenal renal ratio (ARR) test due to a history of hypertension, unprovoked hypokalemia, and a CT scan that showed left adrenal hyperplasia. During his hospital stay, his potassium levels were normalized with oral supplements. An ARR sample was then taken when his potassium reached 4.06 meq/L, as per protocol, to be followed up as an outpatient. He has been prescribed amlodipine and a potassium supplement for ongoing treatment and management.
A 27-year-old male was admitted to the hospital for an adrenal renal ratio (ARR) test due to a history of hypertension, unprovoked hypokalemia, and a CT scan that showed left adrenal hyperplasia. During his hospital stay, his potassium levels were normalized with oral supplements. An ARR sample was then taken when his potassium reached 4.06 meq/L, as per protocol, to be followed up as an outpatient. He has been prescribed amlodipine and a potassium supplement for ongoing treatment and management.
A 27-year-old male was admitted to the hospital for an adrenal renal ratio (ARR) test due to a history of hypertension, unprovoked hypokalemia, and a CT scan that showed left adrenal hyperplasia. During his hospital stay, his potassium levels were normalized with oral supplements. An ARR sample was then taken when his potassium reached 4.06 meq/L, as per protocol, to be followed up as an outpatient. He has been prescribed amlodipine and a potassium supplement for ongoing treatment and management.
Sher-i- Kashmir Institute of Medical Sciences Soura, Srinagar, J&K HOD: Prof. B A Laway Consultant I/C : Prof. A I Wani
Name: Lone Irshad Ahmad Age/sex: 27 y/M MRO no: 127406
Address: Kargam, Handwara, JK Bed: 5A/18 Phone: 7006789938 Date of Admission: 22/02/22 Date of Discharge: 19/09/22
Diagnosis:
HYPERTENSION WITH UNPROVOKED HYPOKALEMIA WITH CT- DOCUMENTEED
LEFT ADRENAL HYPERPLASIA (ADMITTED FOR ARR)
Summary: 27-year male, a known case of hypertension; with first presentation as
unsteadiness in gait and hypokalemia. Since then, the patient is on regular follow up to endo opd, BP controlled with no unusual spikes. However, despite being on potassium supplement, the patient has recurrent hypokalemia, though asymptomatic. CECT would show left adrenal hyperplasia (11.3 mm thickened medial limb). Currently, being on amlodipine 5 mg bd with acceptable BP readings. No history suggestive of paraparesis, pheo- like spells, weight gain, bruisability, thyroid disorder or acral enlargement. No history suggestive of any illicit drug/ substance use. Now admitted for ARR. In hospital potassium was normalized with oral potassium supplement .At serum potassium of 4.06meq/I, the sample for ARR was drawn, according to protocol, to be followed in opd.