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Nephrol Dial Transplant (1999) 14: 2505-2506
© 1999 European Renal Association-European Dialysis and Transplant Association

Nephroquiz For The Beginner

Hyperkalaemia in a patient with hepatic cirrhosis

Haralampos J. Milionis and Moses S. Elisaf

Department of Internal Medicine, Medical School University of Ioannina, Greece

A 53-year-old man with cirrhotic ascites due to chronic hepatitis B infection was admitted because of malaise, fatigue and ascites deterioration. The patient was on frusemide 80 mg per o.s. and spironolactone 100 mg per o.s. daily. On physical examination, cachexia, ascites and flapping tremor were evident.

Biochemical parameters and arterial gas determination are shown in Table 1Go. Serum aldosterone was 800 pg/ml (normal range 7.5–150 pg/ml), and plasma renin activity was 18 ng/ml/h (normal . . . [Full Text of this Article]

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