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
SCHERR L, LUBASH GD, RUBIN AL, et al. 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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