60 year old Malay man with history of diabetic nephropathy on Captopril presented with palpitation since last 3 days. ECG done shows changes. [Taken and modified from Dr Azreen lecture note on clinical presentation, GUT block]
1) What abnormality seen on X-ray (2m)
2) Name the class of drug for captopril and MOA (4m)
3) What complication has occurred? (2m)
4) What is the possible cause? (2m)
Answer
1) Tall T wave
2) ACE Inhibitors, inhibit the action of angiotensin
3) Hyperkalaemia
4) ACE I induced hyperkalaemia.
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