Hyperaldosteronism Flashcards

1
Q

Because of excessive renin stimulating the adrenal glans to produce more aldosterone, serum renin will be high?

A

This is secondary hyperaldosteronism

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2
Q

What are some causes of primary hyperaldosteronism?

A
  1. An adrenal adenoma
  2. Bilater adrenal hyperplasia
  3. Familial hyperaldosteronism type 1 and type 2 rare
  4. Adrenal carcinoma rare
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3
Q

Angiotensin II stimulates the release of what hormone from the adrenal glands

A

Aldosterone from the adrenal glans

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4
Q

A high aldosterone and low renin indicates the cause is?

A

Primary Hyperaldosteronism

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5
Q

A high aldosterone and high renin level indicates the cause is?

A

Secondary hyperaldosteronism

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6
Q

What does Renin do to angiotebsinogen

A
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7
Q

When the juxtaglomerular cells in the afferent arterioles sense a low blood pressure in the arterioles what hormone do they secrete?

A

RENIN

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8
Q

When the adrenal glands are directly responsible for producing too much aldosterone. Serum renin will be low as it is suppressed by the high blood pressure.

A

Pirmary Hyperaldosteronism

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9
Q

What does Angiotensin 1 convert to and where?

A

Angiotensin II in the lungs with the help of angiotensin converting enzyme

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10
Q

What cells in the afferent arterioles sense the blood pressure in these vessels?

A

Juxtaglomerular cells

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11
Q

What hormone doe sthe liver secrete in responsie to low blood pressure?

A

Angiotensin

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12
Q

What does Aldoesterone do?

A
  1. Increase Na+ reabsorption from the distal tubule.
  2. Increase K+ secretion from the distal tubule
  3. Increase hydrogen secretion from the collecting ducts
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13
Q

What are causes of secondary hyperaldosteronism?

A
  1. Renal artery stenosis
  2. Renal artery obstruction
  3. heart failure
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14
Q

What type of steroid hormone is aldosterone

A

Mineralcorticoid

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15
Q

What are aldosterone antagonist?

A
  1. Eplerenone
  2. Spironolactone
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16
Q

How is hyperaldosterone treated?

A
  1. Surgical removal of adenoma
  2. Percutaneous renal artery angioplasty