Snapshot A 32-year-old woman presents to the clinic complaining of a pulsatile headache for the past 2 days. She describes a band-like, 6/10, intermittent pain around her temples. She denies trauma, vision changes, fever, upper respiratory tract infection signs, chest pain, or shortness of breath. Her temperature is 98.6°F (37°C), blood pressure is 164/78 mmHg, pulse is 87/min, and respirations are 12/min. Subsequent laboratory testing reveals a high level of renin (Renal artery stenosis). Introduction Clinical definition login to view 1 more bullet Epidemiology Demographics login to view 1 more bullet ETIOLOGY Pathogenesis login to view 16 more bullets Presentation Symptoms login to view 7 more bullets Physical exam login to view 3 more bullets Studies Diagnostic testing login to view 19 more bullets Differential Primary hyperaldosteronism login to view 2 more bullets Treatment Management approach login to view 1 more bullet First-line login to view 5 more bullets Complications Hypertensive crisis Kidney damage/failure Heart failure