A 33-year-old lady was presented to the hospital with high blood pressure, acute renal failure and hyperreninemia with hyperaldosteronism, and was also suspected with other complications. The diagnostic tests were done and the presented results complicated the situation, even more, thus an exclusion strategy was used to diagnose the disease.
History Complaint of Fatigue Consumption of 5 cigarettes per day No consumption of recreational drugs Diagnostic Test Urine drug test Blood test Physical Examination ECG Echocardiography Retinal Examination Contrast-enhanced CT scan Results The initial physical examination showed no problem and urine drug test came out to be negative confirming no intake of recreational drugs. Blood tests represented the following results: PARAMETER OBSERVED VALUE INTERPRETATION Creatinine 2.11 mg/dl Elevated Potassium 2..45 mEq/L Hypokalemia Hemoglobin…
