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55 y. new patient in your office.Polyuria,polydipsia. for last 3 mounts.Weakness,fatig.2 episodes of paralysis that resolved
on its own,20 y,smoking,No family history of simular problem
Takes some meds for BP -can,t remember the name.
Exam 80/min ,160/96, 36.8 C
NL neurolog.exam.
lab Na 150,K 2.2,Ser.cret.0.8
Nexst step?

1.mesure plasma renin /aldosteron
2.mesure 24 h.urine patasium
3. stop meds - do lab again
4.aldosteron supres.test
5.adrenal vien sampling
6.adrenal CT scan

water deprivation test

oopsss..3.stop meds and do lab again.. could be due to ACE inhibitor.. to much diuresis

is this the nomber 7 option?

Yes is it is 3 - probably Furosemide for general population

00ps..... ACE and Furosem=hyperKemia
Probably Hydrochlorth.

Nexst step? 1.mesure plasma renin /aldosteron

Yes if it,s high renin dd 24 h K urine
if Aldosteron high do sodium overlod

good question. good discussion. is polyuria and polydipsia seen in hyperaldosteronism due to higher serum osmolarity?

I have the same Q .I think some of the couses for sekondary hyperA will explain polyD and polyU may be,