hyperaldosteronsim

Question 1

conn’s syndrome

Answer 1

primary hyperaldosteronism

Question 2

primary hyperaldosteronism

Answer 2

adrenal glands directly responsible for producing too much aldosterone

serum renin will be low as it is suppressed by high BP

Question 3

primary hyperaldosteronism causes

Answer 3

adrenal adenoma secreting aldosterone
bilateral adrenal hyperplasia
familial
adrenal carcinoma

Question 4

secondary hyperaldosteronism

Answer 4

excessive renin stimulating adrenal glands to produce more aldosterone

Question 5

secondary hyperaldosteronism causes

Answer 5

renal artery stenosis
renal artery occlusion
heart failure

Question 6

renal artery stenosis confirmatory tests

Answer 6

doppler USS
CT angiogram
magnetic resonance angiography

Question 7

Ix

Answer 7

renin and aldosterone levels 
BP - htn 
electrolytes - hypokalamia
ABG: alkalosis 
CT/MRI

Question 8

aldosterone and renin levels: 1ry hyperaldosteronism

Answer 8

high aldosterone

low renin

Question 9

aldosterone and renin levels: 2ry

Answer 9

high aldosterone

high renin

Question 10

Mx

Answer 10

aldosterone antagonists - eplerenone, spironolactone

underlying cause: surgical removal adenoma, renal a. angioplasty

Question 11

most common cause of 2ry hypertensin

Answer 11

hyperaldosteronism

Question 12

pt w htn not responding to treatment

Answer 12

consider screening for hyperaldosteronsm with aldosterone and renin levels