Persistent hypertension

Chief Complaint 24 y/o female referred for persistent hypertension & low potassium. History She also complained of nocturnal dyspnoea and mild abdominal pain. No other complaint. ECG shows triad of ST segment depression, low amplitude T waves, and prominent U waves consistent with profound hypokalemia. Vitals BP-159/99 mmHg, Pulse-76 bpm, RR-15 Bpm, Temp-98.6 degree F Investigations Potassium-1.5 mmol/L [Reference value 3.6-5.5 mmol/L]. Diagnosis What is your diagnosis and tmt plan?

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Adrenal tumor on right side, hypertension and hypokalemia All these three together point to hyperaldosteronism causes by adrenal gland tumor also called as Conn's syndrome Investigation Serum aldosterone level Serum renin aldosterone ratio Adrenal vein sampling for aldosterone level because one third of patients may have Bilateral disease Treatment Laparoscopic adrenalectomy

Possibly pheochromocytoma. Adv urine VMA levels. Adv surgery.

Possibly aldosterone secreting adrenal adenoma.

Supra renal tumour on rt side ?pheochromocytoma

Thanx dr Ashok Leel
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ALDOSTERONE SECRETING ADRENAL ADENOMA * PHEOCHROMOCYTOMA Needs further investigation and evaluation to conclude and line of treatment is surgical intervention required to remove it.

According to film Its shows adrenal tumor because of conn syndrome See for aldosterone level See for blood report And treat accordingly or surgery adrenalectomy

Right renal artery stenosis

Pheochromocytoma

Bn

Gh

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