Hyperaldosteronism
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Introduction
Probably most common cause of secondary hypertension
The Case of...
a simple case introducing clincial presentation and calling for a differential diagnosis to get students thinking.
Causes and Risk Factors
Conn's syndrome (tumour)
bilateral adrenal hyperplasia
solitary adenoma
Pathophysiology
Signs and Symptoms
- history
- physical exam
History
Physical Exam
Investigations
- lab investigations
- diagnostic imaging
Lab Investigations
K may be normal in 60% of people
Profound hypokalemia in people on diuretic, despite ACEi or ARb
Aldosterone/renin ratio (stop spironolactone, beta blocker prior to test)
abnormal response to Na loading
adrenal vein sampling
Diagnostic Imaging
CT or MRI
Often diagnosed incidentally on CT
Differential Diagnosis
Treatments
Consequences and Course
The Patient
Health Care Team
Community Involvement
Resources and References
Topic Development
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