During a routine medical checkup. Candice, a 26-year old physiotherapy student, is surprised to hear that her blood pressure is 180/110. She also has a rumbling systolic and diastolic abdominal murmur that is loudest at the mid-epigastric area. Her physician suspects renal artery stenosis. She orders an abdominal ultrasound and real artery arteriography, which confirm that Candace has a small right kidney and the distal part of her right renal artery is narrowed by more than 70%. Her physician prescribes diuretics and calcium channel blockers as temporary measures refers Candace to a cardiovascular surgeon. c) Why is her right kidney smaller than her left one? d) What would you expect Candace's blood levels of K+, Na+, aldosterone, angiotensin II, and renin to be?

Anatomy & Physiology
1st Edition
ISBN:9781938168130
Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Publisher:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Chapter25: The Urinary System
Section: Chapter Questions
Problem 23RQ: Which of these is a vasoconstrictor? nitric oxide natriuretic hormone brady kinin angiotensin II
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During a routine medical checkup. Candice, a 26-year old physiotherapy student, is surprised to hear that her blood pressure is 180/110. She also has a rumbling systolic and diastolic abdominal murmur that is loudest at the mid-epigastric area. Her physician suspects renal artery stenosis. She orders an abdominal ultrasound and real artery arteriography, which confirm that Candace has a small right kidney and the distal part of her right renal artery is narrowed by more than 70%. Her physician prescribes diuretics and calcium channel blockers as temporary measures refers Candace to a cardiovascular surgeon.

c) Why is her right kidney smaller than her left one?

d) What would you expect Candace's blood levels of K+, Na+, aldosterone, angiotensin II, and renin to be?

 

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