Internal Medicine

0521779407-08 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:47

626 Gilbert’s Syndrome Glaucoma

specific therapy

n/a

follow-up

■none required after diagnosis

complications and prognosis

■no complications expected

■excellent prognosis

Gitelman’s Syndrome.................................

MICHEL BAUM, MD

history & physical

■Salt craving, muscle cramps, tetany, constipation

tests

■Hypokalemia, metabolic alkalosis, hypomagnesemia

■Fractional excretion of Na and Cl >1%, UCa/UCr <0.10

differential diagnosis

■Autosomal recessive defect in distal convoluted tubule NaCl cotrans-

porter

■Distinguish from other causes of salt wasting

management

n/a

specific therapy

■KCl and Mg supplements

follow-up

■To follow serum electrolytes and determine response to therapy

complications and prognosis

■Prognosis usually excellent

Glaucoma..........................................

A. SYDNEY WILLIAMS, MD

history & physical

History

■Hereditary, family history often positive

■any adult age but usually over age 60