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QUESTION OF THE DAY (Q2)

A 22 year old woman visits her physician for recent onset of fatigue and weakness. She has no headaches, anxiety or depression. Her blood pressure is 140/110 mm of Hg and her pulse rate is 90 per minute. Physical examination reveals systo-diastolic abdominal bruit and normal femoral pulses. laboratory studies show Potassium levels of 2.1 mEq/L. CXR is normal and she has no family history of hypertension. She does not drink alcohol or smoke cigarettes.
What is the most likely diagnosis?

A) Coarctation of aorta
B) Fibromuscular dysplasia
C) Pheochromocytoma
D) Graves disease
E) Primary hyperparathyroidism

Comments

  1. Dr. Nandkishor ManagoliJune 30, 2017 at 11:25 PM

    The correct answer is B) Fibromuscular dysplasia. It is usually characterized by Renal artery stenosis, leading to abdominal bruit, low Potassium levels and Hypertension.
    Fibromuscular dysplasia is an angiopathy of unknown etiology. Treatment is by performing renal angioplasty or a bypass graft, followed by maintenance with antihypertensives.

    ReplyDelete

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