Snapshot A 33-year-old woman returns to your clinic for continued management of her hypertension. She reports compliance with lifestyle modifications and prescribed anti-hypertensive medications including lisinopril, metoprolol, and losartan. She reports feeling fatigued and has noted slight abdominal distention. Her blood pressure at this visit is 155/92 mmHg. Serum laboratory tests show potassium 3.1 mEq/L and sodium 144 mEq/L. Introduction Overview login to view 3 more bullets Epidemiology Incidence login to view 1 more bullet 2/3 due to adrenal adenoma login to view 2 more bullets 1/3 due to adrenal hyperplasia login to view 2 more bullets Usually between the ages of 30-50 Etiology Pathophysiology login to view 5 more bullets Presentation Symptoms login to view 6 more bullets Physical exam login to view 5 more bullets Imaging CT login to view 3 more bullets Studies Labs login to view 4 more bullets Invasive studies login to view 10 more bullets Differential Secondary hyperaldosteronism login to view 2 more bullets Adrenal incidentaloma login to view 2 more bullets Treatment Pharmacologic login to view 4 more bullets Operative login to view 3 more bullets Complications Hypertensive crisis, cardiomyopathy, and nephropathy Stroke