Case 283

Medical History

Female, 30 years old, diagnosed with an 8-year story of persistent hypertension in use of four antihypertensive drugs, is admitted to the hospital due to a Hypertensive Urgency. Laboratorial findings included asymptomatic hypokalemia (K=1,7mEq/L). Other exams were requested: Plasma Aldosterone = 44ng/dL and Plasma Renin Activity = 0,1ng/mL/h, thus revealing an aldosterone-to-renin ratio (ARR) of 440. Primary Aldosteronism (PA) was then diagnosed and further imaging studies were requested.


Question:
Analyzing the patient's story and the given Computer Tomography (CT) images, the most probable etiologic diagnose for this patient's Primary Aldosteronism (PA) is:

Test Question

(TRT-RJ: Analista em Cardiologia - 2011) In a case of primary hyperaldosteronism, the most probable findings in blood examination and adrenal histology for POTASSIUM, RENIN, pH and HISTOLOGY are, respectively:

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