<prompt> Hypokalemia with hypertension is associated with following exceptLiddles syndromeConns syndromeBartters syndromeCushings syndrome  <response>: Ans. c Bartters syndrome Ref H-18th table 284-2; 17th1801; LB 25th 811The combination of hypokalemia and alkalosis in a normotensive, nonedematous patient can be due to Bartters or Gitelmans syndrome, magnesium deficiency, vomiting, exogenous alkali, or diuretic ingestion. Bartters syndrome is featured by Salt wasting and hypokalemia; while Gitelmans syndrome is characterized by Salt wasting, hypokalemia and hypomagnesemia.Presence of chronic hypertension and chronic hypokalemia in an alkalotic patient suggests either mineralocorticoid excess or that the hypertensive patient is receiving diuretics. Low plasma renin activity and normal urine and in a patient who is not taking diuretics indicate a primary mineralocorticoid excess syndrome. It should be noted that Bartters syndrome is associated with normotension unlike other endocrine causes of hypokalemia which are associated with hypertension: Conn syndrome, Cushings syndrome and Liddles syndrome. 