Make the Dx: Headaches and hypertension
MDlinx Nov 23, 2023
Can you diagnose this mystery illness?
A 28-year-old man is undergoing evaluation because of a 2-month history of headaches. He has a history of hypertension treated with three antihypertensives.
The physical examination is unremarkable; however, his blood pressure is 170/110 mmHg.
An abdominal CT scan shows an enlarged right adrenal gland.
Results of laboratory studies include:
Sodium: 149 mmol/L
Potassium: 3.3 mEq/L
Chloride: 102 mEq/L
Bicarbonate: 29 mmol/L
Plasma aldosterone concentration to plasma renin activity (PAC:PRA): 42
So, what's the most likely diagnosis? Click here to find out.
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