Diagnostic Dilemma

Hyperkalemia in a 2 months old


Author:
Question
A 2 months old boy born of non-consanguineous marriage presented with difficulty in feeding with a suck-rest suck cycle for 1 month and excessive crying for 15 days. He had sweating over his forehead. There was no breathlessness at rest or cyanosis. He was on mixed feeds with breastfeeds and diluted cow’s milk. Physical examination was normal. Investigations showed normal hemogram, chest x-ray, and echocardiography. He was found to have persistent hyperkalemia though sodium, calcium, phosphorus & alkaline phosphatase were normal. His blood urea nitrogen and creatinine were normal ruling out renal failure. He was treated with IV Calcium Gluconate and bicarbonate but hyperkalemia persisted.

How to find out the cause of his hyperkalemia?
Answer Discussion :
D
dhanashree mundle
bubble
Hypoaldosteronism
7 hours ago
C
Chennu Pudami
bubble
rule out hypoaldosteronism and once do an urinary electrolytes also, look for bp and other endocrine abnormalities...
1 Day ago

View More Comments

Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0