elitoki
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A 42 y/o woman comes to the physician for evaluation of persistently increased BP. at her last 2 office visits during the past 3 mos. her BP has ranged between 150-170/105-115 mmHg. During this period, she has had occasional headaches. In addition. she has had an increased urine output over the past 6 wks that she attribute3s to a diet high in sodium. she is otherwise healthy and takes no medications. Her blood pressure today is 168/115 mmHg, pulse is 68, resp 14. Funduscopic examination shows mild ateriovenous nicking. The point of maximal impulse is not displaced. There is no edema, abdominal bruits, or masses. serum studies show:
Na, 144
Cl- 90
K 2.9
HCO3- 32
BUN 20, Creatinine1.2
Which of the following is the most likely underlying cause of this pts hypertension?
a) autonomous production of aldosterone
b) catecholamine-producing tumor
c) decreased arterial distensibility caused by atherosclerosis
d) excess production of atrial natriuretic peptide
e) justaglomerular and sclerosis
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| Justice
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E
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| doc_clotaire
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Sounds like Conn Syndrome
a) autonomous production of aldosterone
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| epica
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A
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| Drtweetie
Forum Elite
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Agree w/ doc_clotaire and epica
Answer is A --hyperaldosteronemia--Conn's syndrome: hypernatremia and hypoK.
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| Kamsi
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A
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| Dr.D
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A
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| Ivonne
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I picked A but why not E?
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| drshvetasm
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A
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| Vietnamese
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K 2.9 is the big hint: Conn syndrome
A
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