Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation: A 16-year-old girl presented with a complaint of easy fatigability and generalized muscle weakness. Upon physical examination, she appeared to be a thin anxious girl with normal blood pressure. Her medical history was unremarkable.
Laboratory examination: Primary investigation revealed hypokalemia and metabolic alkalosis, which suggested the diagnosis of secondary hyperaldosteronism. A urine examination was carried out to identify the underlying cause of this condition. Urine analysis: This image challenge is from the Docplexus editorial team for an educative purpose only. Sources: Iranian Journal of Kidney Diseases
