Secondary Hypertension - CRASH! Medical Review Series

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(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)

[@Dreamsmoneycanby612]

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.

[@waelfadlallah8939]

We are blessed 🙌
Who else gonna teach like this

[@yasmeenrashid7654]

Very good sir

[@medicalstudent6408]

Prof. share with us ur pdf files