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24h urine aldo if low r/o primary aldo but if hi check renin. If renin is high JGA renin tumor, if low primary hyperaldo. Imaging - CT; venous cath to measure aldo in right vs left, elevation on one side ( small adenoma; bilat ( hyperplasia. Treatment – spironolactone or eplerinone. QUIZ: Key tip-off is HTN + HypoK ( measure aldosterone level ... ................
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