During a routine medical checkup. Candice, a 26-year old physiotherapy student, is surprised to hear that her blood pressure is 180/110. She also has a rumbling systolic and diastolic abdominal murmur...



During a routine medical checkup. Candice, a 26-year old physiotherapy student, is surprised to hear that her blood pressure is 180/110. She also has a rumbling systolic and diastolic abdominal murmur that is loudest at the mid-epigastric area. Her physician suspects renal artery stenosis. She orders an abdominal ultrasound and real artery arteriography, which confirm that Candace has a small right kidney and the distal part of her right renal artery is narrowed by more than 70%. Her physician prescribes diuretics and calcium channel blockers as temporary measures refers Candace to a cardiovascular surgeon.



c) Why is her right kidney smaller than her left one?



d) What would you expect Candace's blood levels of K+, Na+, aldosterone, angiotensin II, and renin to be?




Jun 07, 2022
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