Case Presentation: A 55 year old Caucasian male presented to the emergency department with two weeks of palpitations and chest pain. He experienced intermittent chest pressure and palpitations that were worse while lying down. He denied recent change in weight, skin changes, or SOB. He had a 45 pack-year smoking history, having quit two years [...]

Case Presentation: 58 year-old woman with history of chronic kidney disease, insulin dependent diabetes mellitus, and hypertension presented with three weeks of worsening generalized weakness. She denied recent vomiting, diarrhea, or polyuria. Laboratories revealed severe hypokalemia with potassium of 2.3 mEq/L, sodium of 141 mEq/L, magnesium of 1.5 mEq/L, glucose of 129 mEq/L, creatinine of [...]

Case Presentation: A 67-year-old male with history of alcohol abuse and chronic hyponatremia related to beer potomania presented to hospital with nosebleed and coincidently found to have hyponatremia of 118 meq/L and hypokalemia of 3.3 meq/L. He was treated with fluid restriction, Lasix 20 mg and sodium chloride 2 gm daily. Upon outpatient follow up [...]

Case Presentation: A 69-year-old man with prior right adrenalectomy for primary hyperaldosteronism presents with lightheadedness, resistant hypertension, and hypokalemia.He had been diagnosed with primary hyperaldosteronism several years prior following workup for resistant hypertension, chronic hypokalemia, and orthostasis. At that time, he was found to have an elevated aldosterone level associated with suppressed renin and normal [...]