35 year old woman presents to you complaining of increased urination. PMH includes bi polar which is well managed medically. You instruct the patient to restrict drinking water for a day, but she continues to have increased urination. What is the culprit here?
LITHIUM!!! Side effect: Nephrogenic DI --> kidneys can't respond to ADH stimulation
23 year old woman presents for a well women visit. PMH is unremarkable and she does not smoke or drink alcohol. She is not on an OCP. You check her BP and it is elevated at 188/97. Patient does state she has felt weaker than normal lately and has noticed decreased urine output. You send her for blood work. Her CMP comes back Na+ at 148, K+ at 3.1 and her HCO3 at 30. What is the diagnosis?
CONN SYNDROME hyperaldosteronism is characterized by hypernatremia, hypokalemia and metabolic alkalosis!
13 year old obese boy falls during soccer practice. He now complains of limping and struggles to maintain weight on his right leg. Upon physical exam, you notice limited internal rotation of the right hip. What is this patient predisposed to developing?
Diagnosis : Slipped capital femoral epiphysis He is prone to avascular necrosis of the femoral head!