Resistant HTN: blood pressure (BP) that remains above goal in spite of the concurrent use of thr...
Ask or review at every visit: SANS mnemonic: (i) Salt intake, (ii) Alcohol intake, (iii) NSAID use, (iv) Sleep. These identify the most common causes of poorly controlled...
Treatment modality depends on etiology of HTN. Please see each etiology listed for information on proper treatment. Empiric trial of aldosterone antagonist is a commonly used initial medicat...
I15.9 Secondary hypertension, unspecified
I15.8 Other secondary hypertension
I15.0 Renovascular hypertension
I15.1 Hypertension secondary to other renal disorders
I15.2 Hypertension secondary t...
Aldosterone inhibitors should be considered in all cases of resistant HTN.
Home BP monitoring predicts outcomes better than office monitoring of BP.
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A Female with Cushing's Syndrome
<bold>Figure 33-35</bold> Magnetic resonance image of aortic coarctation in a 1 day old. Arrow indicates focal coarctation in the distal end of a hypoplastic aortic arch.
<bold>Figure 33-35</bold> Magnetic resonance image of aortic coarctation in a 1 day old. Arrow indicates focal coarctation in ...
Coarctation of the aorta. A. Preductal type. B. Postductal type. The caudal part of the body is supplied by large hypertrophied intercostal and internal thoracic arteries.
Coarctation of the aorta. A. Preductal type. B. Postductal type. The caudal part of the body is supplied by large hypertrophied intercosta...
A 25-year-old woman with coarctation of the aorta. There is increased curvature of the left ventricular contour of the left heart border. The aortic arch (Ao) is inconspicuous, and the left subclavian artery (small arrows) is dilated. Note the break in the shadow of the descending aorta (large arrow) just inferior to the aortic arch at the site of the aortic narrowing. Irregular erosions (arrowheads) on the underside of the left and right fourth ribs (rib notching) are seen.
A 25-year-old woman with coarctation of the aorta. There is increased curvature of the left ventricular contour of the left heart border. ...
<bold><italic>Figure 18-19</bold> Cushing syndrome. A,</bold> Cushingoid obesity, including "buffalo hump" of dorsal fat. <bold>B,</bold> Cushingoid moon facies.
<bold><italic>Figure 18-19</bold> Cushing syndrome. A,</bold> Cushingoid obesity, including "buffalo hump" of dors...
<bold>Fig CA 8-1 Coarctation of the aorta.</bold> Plain chest radiograph demonstrates the figure-3 sign (arrow points to the center of the 3).
<bold>Fig CA 8-1 Coarctation of the aorta.</bold> Plain chest radiograph demonstrates the figure-3 sign (arrow points to the c...
<bold>Fig GU 36-1. Cushing's syndrome</bold> due to functioning cortical adenoma. A 4-cm mass in the left adrenal gland (arrows) is seen posterior to the tail of the pancreas and anterior to the kidney (K). The arrowhead points to the normal right adrenal gland.<sup>29</sup>
<bold>Fig GU 36-1. Cushing's syndrome</bold> due to functioning cortical adenoma. A 4-cm mass in the left adrenal gland (arrow...
<bold><italic>Figure 18-9</bold> Thyroid gland in hyperthyroidism. A,</bold> Normal thyroid. <bold>B,</bold> Hyperthyroidism. Note the overgrowth (hyperplasia) of follicular epithelium.
<bold><italic>Figure 18-9</bold> Thyroid gland in hyperthyroidism. A,</bold> Normal thyroid. <bold>B,</bol...