LAWRENCE SCHERR, M.D.; GLENN D. LUBASH, M.D.; ALBERT L. RUBIN, M.D.; E. HUGH LUCKEY, M.C., F.A.C.P.
Muscle paresis or paralysis is infrequently associated with hyperkalemia (1-3). This relationship was noted in the case presented here and was particularly interesting because of associated mydriasis. Treatment of the hyperkalemia resulted in a prompt remission of all muscle signs, including the mydriasis.
A 15-year-old white boy was admitted to a hospital because of uremia secondary to right ureteropelvic obstruction and congenital absence of the left kidney. There was no family history of renal or muscle disease. A right nephrostomy was performed, but the patient's clinical condition continued to deteriorate, and the blood urea nitrogen rose from 30
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SCHERR L, LUBASH GD, RUBIN AL, LUCKEY EH. An Unusual Clinical SignMydriasis Associated with Hyperkalemia and Metabolic Acidosis. Ann Intern Med. 1962;56:508–510. doi: 10.7326/0003-4819-56-3-508
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Published: Ann Intern Med. 1962;56(3):508-510.
Endocrine and Metabolism, Fluid and Electrolyte Disorders, Nephrology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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