a 50-year-old woman with a body mass index in the obese range had a weakness in their muscles. she had a history of increased blood pressure but controlled it with medication. the GP has diagnosed her with extreme hypertension and therefore has given her an increased dosage of blood pressure medication but did not have an effect on her hypertension. the biochemical profile shows: - urea of 8.9 (reference range: 2.5-7.0) - sodium of 162 (reference range: 134-147) - potassium of 2.2 (reference range: 3.5-5.0) -aldosterone of 863 (reference range: 90-700) - renin activity of 4.3 (reference range: 0.5-3.5) - aldosterone/RA ratio of 201 (reference range: <680) -cortisol of 511 (reference range: 138-690) -pH of 7.51 ( reference range : 7.35-7.45) Questions: a)what is the medical condition the patient has and what are the causes? fully explain the rationale which is based on the patients history and the test results indicated above. b)which non invasive test will be taken into consideration to confirm or exclude the cause of the patient's symptoms?
a 50-year-old woman with a body mass index in the obese range had a weakness in their muscles. she had a history of increased blood pressure but controlled it with medication. the GP has diagnosed her with extreme hypertension and therefore has given her an increased dosage of blood pressure medication but did not have an effect on her hypertension.
the biochemical profile shows:
- urea of 8.9 (reference range: 2.5-7.0)
- sodium of 162 (reference range: 134-147)
- potassium of 2.2 (reference range: 3.5-5.0)
-aldosterone of 863 (reference range: 90-700)
- renin activity of 4.3 (reference range: 0.5-3.5)
- aldosterone/RA ratio of 201 (reference range: <680)
-cortisol of 511 (reference range: 138-690)
-pH of 7.51 ( reference range : 7.35-7.45)
Questions:
a)what is the medical condition the patient has and what are the causes? fully explain the rationale which is based on the patients history and the test results indicated above.
b)which non invasive test will be taken into consideration to confirm or exclude the cause of the patient's symptoms?
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