Hyperaldosteronism Flashcards

1
Q

Definition of primary hyperaldosteronism?

A

Where adrenal gland is directly responsible for increase aldostrone secretion, happens due to a adrenal adenoma.

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2
Q

Definition of secondary hyperaldosteronism?

A

Where aldosterone is excessively produced due to increase renin levels.

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3
Q

Pathophysiology of hyperaldosteronism?

A

Kidney release renin which changes into angiotensin which causes adrenal glands zona glomerulosa to release aldosterone.

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4
Q

What is conns syndrome?

A

where there is a aldosterone secreting tumour on adrenal gland releasing increased aldosterone.

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5
Q

what causes primary hyperaldosteronism?

A

Aldosterone secreting tumour on adrenal gland

Biolateral adrenal hyperplasia

Adrenal carcinoma

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6
Q

what causes secondary hyperaldosteronism?

A

Excess aldosterone production due to high levels of renin

can happen due to chronic low blood pressure

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6
Q

what causes secondary hyperaldosteronism?

A

Excess aldosterone production due to high levels of renin

can happen due to chronic low blood pressure

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7
Q

What are hyperaldostorism symptoms?

A

Hypokalemia = low potassium in blood
hypernatremia = high sodium in blood
Hyper tension = high blood pressure

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8
Q

how to diagnose Hyperaldostorism?

A

Check renin aldosterone ratio

Renin low + Aldosterone High = primary

Renin high + Aldosterone High = secondary

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9
Q

Treatment for hyperaldostronism?

A

Aldosterone antagonist like:
Eplerenone
Spironolactone

Surgically remove tumour

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10
Q

How is hyperaldosteronism linked to hyper tension?

A

it is most common cause of secondary hypertension due to high plood pressure

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