Primary hyperaldosteronism (Conn syndrome) is actually the most common cause of secondary HTN in middle-aged adults, estimated to be the result of up to 30% of treatment-resistant HTN and carries with it increased morbidity and mortality independent of BP levels as compared to essential HTN. It's incredibly under-tested (Aldosterone-Renin Ratio is the screening test, Salt loading to confirm, b/l adrenal venous sampling to decide if lateralizing =>adrenalectomy, or bilateral => spironolactone/Eplerenone). On boards they'll typically give you the hypokalemia, however in practice it's usually not seen. Pheochromocytoma will be more episodic in symptoms and BP elevation, which will delineate the two on-board Qs.
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Primary hyperaldosteronism (Conn syndrome) is actually the most common cause of secondary HTN in middle-aged adults, estimated to be the result of up to 30% of treatment-resistant HTN and carries with it increased morbidity and mortality independent of BP levels as compared to essential HTN. It's incredibly under-tested (Aldosterone-Renin Ratio is the screening test, Salt loading to confirm, b/l adrenal venous sampling to decide if lateralizing =>adrenalectomy, or bilateral => spironolactone/Eplerenone).
On boards they'll typically give you the hypokalemia, however in practice it's usually not seen. Pheochromocytoma will be more episodic in symptoms and BP elevation, which will delineate the two on-board Qs.
Very good sir
Prof. share with us ur pdf files
We are blessed 🙌
Who else gonna teach like this
✅