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A Case of Bartter's Syndrome

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Stanley Medical College, Department of Medicine
Santé & Médecine
1  sur  62
DR.G.BALAJI PROF.DR.G.SUNDARAMURTHY’S unit- M6
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Acute paraparesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Central nervous system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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diagnosis ,[object Object]
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Hypokalemia ,[object Object],[object Object],[object Object],[object Object],[object Object]
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[object Object],[object Object],[object Object],[object Object],[object Object]
pseudohypokalemia ,[object Object],[object Object],[object Object]
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[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
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Genetic disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
APPROACH TO HYPOKALEMIA HYPOKALEMIA urine potassium < 25 mEq/day urine potassium >30 mEq/day
Urinary conservation +
Urinary conservation -
 
Lab values ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ABG 1 st day 2 nd day PH 7.52 7.48 HCO3 32.6 36.6 PCO2 40.5 50.1 PO2 80.4 74 ANION GAP 13.5 10.3 SO2 97 95.4
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Final diagnosis ,[object Object],[object Object]
BARTTER’S SYNDROME ,[object Object],[object Object],[object Object],[object Object]
Bartter’s syndrome types ,[object Object],[object Object],[object Object],[object Object]
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Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Biochemical abnormalities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nephrocalcinosis + + +- + + - Polyhydramnios + + + + - - FTT + + + + - - Growth Retardation + + + + - - Polyuria + + + + + - Polydipsia + + + + + - Muscle cramps/pain - - - - + +- Chondrocalcinosis - - - - - +- SN hearing loss - - - + - - Hypocalcemia - - - - + - FEATURES B I B II B III B IV B V GM
Treatment ,[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
American journal of medicine : vol 61: issue 1 :1985 ,[object Object]
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[object Object],The Journal of Clinical Endocrinology & Metabolism : Vol. 88 : Number 2 : 2003
[object Object],[object Object],[object Object],Oxford journal of medicine : vol 22 : number 1 : 2006
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A Case of Bartter's Syndrome

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  • 35. APPROACH TO HYPOKALEMIA HYPOKALEMIA urine potassium < 25 mEq/day urine potassium >30 mEq/day
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  • 41. ABG 1 st day 2 nd day PH 7.52 7.48 HCO3 32.6 36.6 PCO2 40.5 50.1 PO2 80.4 74 ANION GAP 13.5 10.3 SO2 97 95.4
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  • 54. Nephrocalcinosis + + +- + + - Polyhydramnios + + + + - - FTT + + + + - - Growth Retardation + + + + - - Polyuria + + + + + - Polydipsia + + + + + - Muscle cramps/pain - - - - + +- Chondrocalcinosis - - - - - +- SN hearing loss - - - + - - Hypocalcemia - - - - + - FEATURES B I B II B III B IV B V GM
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Notes de l'éditeur

  1. ypoklaemia