Hyperaldosteronism

Question 1

Causes of primary hyperaldosteronism

Answer 1

Adenoma, Adenocarcinoma, Hyperplasia

Question 2

Causes of secondary hyperaldosteronism

Answer 2

• Renin-secreting tumour
• Decreased renal perfusion; heart failure, portal hypertension (liver cirrhosis), stenosis of the renal artery

Question 3

Electrolyte abnormalities

Answer 3

Hypernatraemia and hypokalaemia (dt. Na-K ATPase pumps)

Question 4

Treatment

Answer 4

Surgical removal of tumour vs. medical (spironolactone - aldosterone blocker)

Question 5

Diagnostics

Answer 5

Electrolyte abnormalities (HypoK, HyperNa)
US changes (tumours, adrenal hyperplasia)
Serum aldosterone