A 28-year-old female returns to the clinic to see you. You i…

A 28-year-old female returns to the clinic to see you. You initially treated her for moderate depression with fluoxetine (Prozac), an SSRI, 20 mg daily. You recommended a follow up  visit in 3-4 weeks. She missed that appointment, she was feeling less depressed and canceled her appointment.   Two months have gone by, she called your office this morning and asked to schedule an appointment with you.  She is feeling a bit “crazy and manic” on the fluoxetine.  She is rushing around, laughing a lot and experiencing more anxiety. She has a family history of severe mood swings, she passed it off as just that. Based on this information, what is the most likely, or leading diagnosis for this person: 

Cardiomyopathy can be separated into primary (genetic, mixed…

Cardiomyopathy can be separated into primary (genetic, mixed, or acquired) and secondary categories, which result in varied phenotypes including dilated, hypertrophic, and restrictive patterns. Hypertrophic cardiomyopathy is the most common primary cardiomyopathy, and can cause exertional dyspnea, presyncope, atypical chest pain, heart failure, and sudden cardiac death. Hypertrophic cardiomyopathy is defined as:

A 60 year old man with stage 3 chronic kidney disease (CKD),…

A 60 year old man with stage 3 chronic kidney disease (CKD), secondary to hypertension, presents to your clinic for a routine follow-up appointment.  His BP is 136/74 mmHg.  His PE results were all within normal limits. His labs are significant for a potassium level of 5.3 mEq/L and phosphorus level of 5 mg/dl. What is the explanation for his hyperkalemia and hyperphosphatemia?