Secondary hyperaldosteronism physical examination

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Overview

Patients with secondary hyperaldosteronism usually appear well. Physical examination of patients with secondary hyperaldosteronism is usually remarkable for high blood pressure, tachycardia, and an S4 maybe heard on auscultation of the precordium suggesting left ventricular hypertrophy secondary to increased afterload due to hypertension.


Secondary hyperaldosteronism Microchapters

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Physical Examination

Appearance of the patient

  • Patient is usually well-appearing

Vital signs

Skin

  • There are no abnormal skin findings associated with primary hyperaldosteronism

HEENT

  • HEENT examination is normal in primary hyperaldosteronism.

Neck

Lungs

Heart

Abdomen

  • Non-tender
  • Non-distended
  • No abnormal fluids or gas
  • No palpable organomegaly

Back

  • There are no abnormal findings on the back associated with primary hyperaldosteronism.

Genitourinary

  • There are no abnormal genitourinary findings associated with primary hyperaldosteronism

Extremities

  • Extremities are normal on examination in primary hyperaldosteronism

Neurologic

References

  1. Zelinka T, Holaj R, Petrák O, Strauch B, Kasalický M, Hanus T, Melenovský V, Vancura V, Bürgelová M, Widimský J (2009). "Life-threatening arrhythmia caused by primary aldosteronism". Med. Sci. Monit. 15 (12): CS174–7. PMID 19946238.
  2. Pella J, Lazúrová I, Javorská B, Trejbal D (1999). "[Conn's syndrome and severe arrhythmias]". Vnitr Lek (in Slovak). 45 (4): 228–31. PMID 11045185.
  3. du Cailar G (2004). "[Cardiac consequences of primary hyperaldosteronism]". Ann Cardiol Angeiol (Paris) (in French). 53 (3): 147–9. PMID 15291171.
  4. Delgado Y, Quesada E, Pérez Arzola M, Bredy R (2006). "Ventricular fibrillation as the first manifestation of primary hyperaldosteronism". Bol Asoc Med P R. 98 (4): 258–62. PMID 19610566.
  5. Nishimura M, Uzu T, Fujii T, Kuroda S, Nakamura S, Inenaga T, Kimura G (1999). "Cardiovascular complications in patients with primary aldosteronism". Am. J. Kidney Dis. 33 (2): 261–6. PMID 10023636.

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