Hyperaldosteronism

Question 1

Primary:

cause

Answer 1

Adrenal hyperplasia or

aldosterone secreting adrenal adenoma (Conn’s)

Question 2

Primary:

presentation and lab and treatment

Answer 2

HTH, hypokalemia, metabolic alkalosis
LOW PLASMA RENIN

Either bilateral or unilateral

Surgery, spironolactone

Question 3

Secondary:

cause

Answer 3

Renal perception of low IV volume,
thus overactive renin-angiotensin system

1) Renal artery stenosis
2) Chronic renal failure
3) CHF
4) Cirrhosis
5) Nephrotic syndrome

Question 4

Secondary:

lab and treatment

Answer 4

HIGH PLASMA RENIN

Treatment: spironolactone