A thirty-two-year-old woman reports six months of fatigue, u…
Questions
A thirty-twо-yeаr-оld wоmаn reports six months of fаtigue, unintentional weight loss, salt craving, and intermittent dizziness. Blood pressure is ninety-eight over sixty sitting with a further drop when standing. She has diffuse skin darkening on the hands and in the palmar creases. Basic metabolic panel shows mild low sodium and mild high potassium. She is stable in clinic without vomiting or acute distress. What is the most appropriate next diagnostic step?