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Primary Hyperaldosteronism


SCENARIO

MG is a 36-year-old female who had been experiencing muscle weakness, excessive urination, frequent headaches, and excessive thirst. She made an appointment with her primary care physician. Upon examination, it was observed that MG was moderately hypertensive (148/92 mmHg). Blood tests revealed the presence of metabolic alkalosis, hypokalemia, and elevated serum aldosterone. A CT scan confirmed the presence of an adenoma in her left adrenal cortex and the patient was diagnosed with primary hyperaldosteronism. MG was scheduled for surgery to remove the affected adrenal gland. In the meantime, she was placed on a salt-restricted diet and her condition was managed pharmacologically with the potassium-sparing diuretic spironolactone. Continue Reading >


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