A 50-year-old man has been seen in the office a month ago for new hypertension diagnosis. His blood pressure was 158/89 mmHg and pulse is 87/min. on follow up today, he reports a muscle weakness with cramping in the lower extremities. He also has these symptoms during sleeping. He is an active swimmer but 2 days ago he couldn't swim due to symptoms . Which of the following is the most likely cause of this patient's muscular symptoms?

Question

Quizplus · Accepted Answer

Eductional Objective: Thiazide diuretics decrease intravascular fluid volume, which stimulates aldosterone secretion and leads to increased excretion of potassium and hydrogen ions in the urine.  This results in hypokalemia and metabolic alkalosis.

A 50-Year-Old Man Has Been Seen in the Office a Month