Clinical syndrome of excess aldosterone production, independent of r...
ROS: headaches, muscle weakness, fatigue, cramping, polyuria, polydipsia, paresthesias, or tetany (due to the hypokalemia)
Family history of HTN (early onset, <4...
Treat HTN and electrolyte abnormalities, particularly hypokalemia, if present.
Surgery is the definitive treatment for unilateral disease (5)[A].
Medical management with aldosterone antagonis...
K+ supplements, anti-HTN therapy, and spironolactone may need to be stopped/decreased after surgery.
High-Na+ diet may be needed to avoid the hyperkalemia that can...
E26.09 Other primary hyperaldosteronism
E26.01 Conn’s syndrome
E26.81 Bartter’s syndrome
E26.02 Glucocorticoid-remediable aldosteronism
190507007 Primary hyperaldosteronism (disorder)
PA screening is recommended in high-risk patients.
Calculate ARR in patients at increased risk.
Confirmed cases should undergo high-resolution CT scan to exclude ACC.
If surgery is desire...
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