Clinically,Gitemans,s syndrome is distinguished from bartter,s by?
Question:
2hypermagnesemia and hypocalciuria
3hypomagnesemia and hypercalciuria
4hypermagnesemia and hypercalciuria
Answers:
GITELMANS syndrome, is diagnosed as an accident, in young people with mild hipokalemia, hypomagnesemia, hypocalcyuria, metabolic alkalosis, and normal or low blood pressure. (calcium urinary elimination or Sulkovitch test is generally normal)
It is due to the mutation of the gene that controls the absorption of sodium chloride in the sodium chloride cotransported in the DISTAL convoluted tube...
It mimicks tha abuse of high loop diuretics...
Bartters syndrome is a more severe one...(due to deffects in the sodium transportation in the ascending loop of henle)detected from birth, following mental retardation and nephrocalcinosis..., and urinary calcium is normal or high...there is mild hypokalemia, and typically, there is no HYPERTENSION, and magnesium in blood and urine, is typically NORMAL, as it happens in Alports and Conns syndromes ( Hypertension with Hypokalemia with alkalosis)
More Questions & Answers...