Snapshot A 59-year-old man with a history of hypertension presents to his primary care physician for blood pressure management. He has tried lisinopril, hydrochlorothiazide, and losartan, and had minimal effect. He has a strong family history of cardiovascular disease. Physical examination is notable for a bruit in the right flank. Routine bloodwork shows an elevated creatinine. Preparations are made for a doppler ultrasound of the renal arteries. Introduction Clinical definition login to view 5 more bullets Epidemiology Prevalence login to view 2 more bullets Demographics login to view 4 more bullets Risk factors login to view 5 more bullets Etiology Pathophysiology login to view 9 more bullets Associated conditions login to view 4 more bullets Presentation History login to view 6 more bullets Symptoms login to view 2 more bullets Physical exam login to view 4 more bullets Imaging Ultrasound login to view 5 more bullets CT angiography login to view 5 more bullets MR angiography in patients with renal insufficiency login to view 5 more bullets Invasive catheter angiography login to view 3 more bullets Studies Labs login to view 5 more bullets Histology login to view 2 more bullets Diagnostic criteria login to view 2 more bullets Differential Essential hypertension login to view 1 more bullet Primary hyperaldosteronism login to view 1 more bullet Obstructive sleep apnea login to view 1 more bullet Treatment Medical login to view 7 more bullets Operative login to view 13 more bullets Complications Renal dysfunction can progress to end-stage renal disease login to view 4 more bullets Prognosis Prognostic variable login to view 4 more bullets Survival with treatment login to view 3 more bullets