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Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Causes of Hypertension ... taken at home, work ... Resistant hypertension ... ) • Hyperparathyroidism ... ) #Hypertension
Indications for Parathyroidectomy in Primary Hyperparathyroidism • All patients with symptomatic PHPT • Serum calcium 1
Parathyroidectomy in Primary ... Hyperparathyroidism ... with symptomatic PHPT ... #endocrinology ... #management #Hyperparathyroidism
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Zona Glomerulosa: Primary ... hypokalemia and/or hypertension ... - Plasma or urinary ... Evaluation #Diagnosis #workup ... #endocrinology
Hyperaldosteronism Testing Algorithm INDICATIONS FOR TESTING: Suspicion of primary aldosteronism - Manifestations: hypertension, hypokalemia, metabolic alkalosis ORDER: Aldosterone/Renin Activity
: Suspicion of primary ... Manifestations: hypertension ... Hyperaldosteronism #Algorithm #endocrinology
Evaluation of Secondary Hypertension • Primary aldosteronism - PRA, PAC • Renal artery stenosis - Renal
Evaluation of Secondary Hypertension ... • Primary aldosteronism ... PAC #Secondary #Hypertension ... resistant #Evaluation #workup
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary Hypertension ... - Workup and Differential ... Vasculitis • Endocrinologic ... Hypothyroidism, Primary ... #Workup #causes
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary Hypertension ... angiography • Primary ... hyperparathyroidism ... #Secondary #Hypertension ... Causes #Screening #Workup
Secondary causes of Hypertension • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes of Hypertension ... Pseudoephedrine • Primary ... Renovascular • Primary ... Thyroid disease, Hyperparathyroidism ... Secondary #causes #Hypertension
Approach to a young patient with hypertension General Evaluation - History and Examination, Basic chemistries (K, eGFR),
young patient with hypertension ... ↑AIdo/↓PRA: Primary ... essential HTN If work-up ... thyroid disease, hyperparathyroidism ... CNS disease #hypertension
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
abdominal pain, hypotension ... baseline ACTH - Primary ... Diagnosis #Algorithm #endocrinology
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