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Adrenal causes of hypertension are:
1) Excess of aldosterone production in primary aldosteronism. The diagnosis may be suspected when persistent hypokalemia is detected. Most often a CT scan of the adrenals will identify the presence of an adenoma or hyperplasia.
2) Excess cortisol levels in cushing's syndrome. This syndrome is suspected in patients with truncal obesity, thin skin and weakness. The diagnosis can be arrived at by measuring 24 hour urinary cortisol or by doing dexamethasone suppression test.
3) Hypertension caused by increased catecholamines is found in Pheochromocytoma, which usually is found in the adrenal medulla. The striking feature in this condition is the marked fluctuations in blood pressure. The associated symptoms are spells of headache, sweating, palpitations, nervousness, nausea and tremors. These symptoms could be mistaken for anxiety and as postmenopausal syndrome. The diagnostic tests are 24 hour urinary metanephrine estimation and CT and MRI scans of the adrenals.
Symptoms of digitalis toxicity include anorexia, nausea, headache, blurring or yellowing of vision, and disorientation. Cardiac toxicity may take the form of atrioventricular condu
Surgical Management: Surgical management consists of primary repair which involves end to end anastomosis with excision of the fistula and delayed and staged surgery. When t
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If children obtain half their genes from one parent and half from the other parent, why aren't siblings identical?
Alanine cycle Alanine Cycle : In the alanine cycle the pyruvate formed from glycolysis in the muscle is converted to alanine by transamination reaction. Alanine is rele
Define the advatages of Potassium The gross impact of these effects on crop production is manifested in several ways. Perhaps the first visible indication of a potassium defic
DIFFERENCE S BETWEEN SINGLE-UNIT AND MULTI-UNIT SMOOTH MUSCLES Single-unit Smooth Muscles Multi-uni t Smooth Muscles
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Drugs for Sexually Transmitted Infections Many infections can be transmitted during sexual contact. The text and tables that follow are limited to management of sexually transm
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