Conn syndrome

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Conn syndrome

Pathology

Multiple endocrine neoplasia (MEN1, MEN2)

Flashcards

Conn syndrome

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Questions

USMLE® Step 1 style questions USMLE

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A 41-year-old woman returns to the clinic after a high blood pressure reading 1 week ago. She has also been experiencing fatigue and muscle weakness over the past month. Past medical history is noncontributory. Her blood pressure is 159/94 mmHg at today’s visit. Physical examination shows no abnormalities. Serum studies reveal a potassium concentration of 3.2 mEq/L. The plasma aldosterone concentration to plasma renin activity ratio is significantly elevated. Abdominal CT reveals bilateral adrenal gland masses. The patient is prescribed an aldosterone receptor antagonist. Which of the following medications was most likely provided?  

Key Takeaways

Conn syndrome, also known as primary hyperaldosteronism, is a rare disorder caused by high levels of aldosterone hormone. Aldosterone is produced by the adrenal gland, promotes Sodium conservation in the kidney, and helps the body keep Sodium and water balance.

In Conn syndrome, the adrenal gland produces too much aldosterone, and this causes the body to retain too much salt and water. This can lead to high blood pressure, edema, and hypokalemia (low potassium levels in the blood). Conn syndrome can be caused by adrenal hyperplasia or adrenal adenoma.