Hyperaldosteronism

Question 1

Types and causes?

Answer 1

Primary - conns ( adrenal adenoma)
Idiopathic
Familial
BL adrenal hyperplasia (mainly men)
Secondary- chronic low bp secrecting hogh levels of renin

Question 2

Clinical features?

Answer 2

Htn
Hypokalemia
Matabolic alkalosis
Non specific symptoms 
Muscle weaknesses,nocturia,tetany,constipationarrhythmias

Question 3

Ix?

Answer 3

1.Iry- aldosterone high renin low
IIry- high aldosterone high renin
2.hypokalemia
3.urinary Kc loss

Question 4

Tx?

Answer 4

1.Adenoma sx removal
2.hyperplasia-
Aldosterone antagonist-spironolactone
Aldosterone receptor antagonist- eplerenone