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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.
Genetic Defect in Pyruvate Dehydrogenase A defed in any of the protein subunits of PDH can result in decrease or complete loss of activity. Severe cases are usually fatal. Sy
What a test tube brush and how is it used? It is a method, made with nylon bristles attached to a twisted-wire shaft, used to knock the bottoms out of test tubes.
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These views are obtained by placing the transducer in the suprasternal notch with the ridge pointing cephalad. The neck is extended during the suprasternal notch examination. Thi
Q. What is the universal chemical equation of photosynthesis? Why does not that equation clearly show the real origin of the molecular oxygen liberated? The general equation of
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