Answered: a) What is the most likely diagnosis…

Human Anatomy & Physiology (11th Edition)

11th Edition

ISBN:9780134580999

Author:Elaine N. Marieb, Katja N. Hoehn

Publisher:Elaine N. Marieb, Katja N. Hoehn

Chapter1: The Human Body: An Orientation

Section: Chapter Questions

Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...

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Transcribed Image Text:A 55 year old woman was diagnosed as hypertensive by the GP but was failing to respond to medication for high blood pressure. They were also complaining of muscle weakness. Further blood tests revealed the following biochemical profile seen in the table below. Variable Urea (mm) Creatinine (mm) Na+ (mm) K+ (mm) Aldosterone (PM) Renin activity (RA) (nM/hr) Aldosterone/RA ratio Cortisol (nM) pH Result 6.6 79 165 2.4 762 0.29 2627 435 7.48 Reference Range 2.5-7.0 60 - 120 134-147 3.5-5.0 90 - 700 0.5-3.5 <680 138 - 690 7.35-7.45

a) What is the most likely diagnosis and also the underlying cause of the disorder? Explain your rationale
for the cause of the disorder based on particular test results indicated in the table. (140 words)
b) State which further key biochemical test is most likely to be undertaken next in order to help confirm, or
indeed exclude the cause of her symptoms. Briefly explain the expected result of this test, if the original
diagnosis is correct. (40 words)

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