Midterm 2- HT

Question 1

• abdominal flank bruits
• athrosclerotic stenosis of the prox renal art
• HT is resistant to meds
• kidney fxn deteriates after ACE inhibitors
• surgers of BP accompanied by episodes of pulmary edema

tet:
- incr creatinine
- incr BUN

Answer 1

Renal vascular HT

Question 2

• excessive salt and water retention from cortisol release
• incr secretion of angiotensinogen

primary: adrenal dz
secondary: chronic use of corticosteroids

Answer 2

cushing sx

Question 3

cc:
- severe M weakness
- transcient paralysis
- M cramps

Labs:

• hypokalemia
• hypernatremia
• HT

Answer 3

primary aldosteronism

Question 4

• systemic HT in children
• ass. with bicuspid aortic valve

PE:

murmur: incr systolic burry, thrills upon heart palp
- systolic BP greater in arms than in legs

special test:
- echocardiograph: left ventricular hypertrophy

Answer 4

aortic coarctation

Question 5

__: develops secondary to CA

• In the adrenal glands
• causes HT

PE:

• sweating
• palpations
• wt loss

Urinalysis: catecholamines

Answer 5

pheochromocytoma

Question 6

• elevated BP
• incr uric acid
• albuminuria
• edema

Answer 6

preeclampsia