Surigcal HTN Flashcards
1
Q
If we see HTN and hypokalemia, what are we thinking?
A
Aldosterone problem
2
Q
How do we diagnose primary aldosteronism or conns?
A
Aldo to renin ratio greater than 20
Salt suppression test fails
CT or MRI to see it
Adrenal vein sampling to lateralize it
3
Q
2 patient types for renal artery stenosis?
What will be different about renal artery stenosis than primary aldosteronism?
How to diagnose?
Treat women?
Treat old man?
A
Old man with atherosclerosis
Young women with fibromuscular dysplasia
Renin and aldosterone is elevated in RAS
US with Doppler and angiogram
Stent
Medical management
4
Q
How to diagnose Pheo?
Treat?
A
Urinary metanephrines
Alpha blockade
Beta blockade
Resection
5
Q
What condition if rib nothing?
A
Coarctation
