Primary Aldo

The primary al-dostrinoism workup number one you don't have to stop all the medicines to screen for pa in fact if you're on an asir and arb. resistant hypertension on three or four medicines is an indication to look for primary aldo so send the renin aldo in that setting. Just knowing that they've got suppressed renin their aldo's 13 which is not it's not super high but it's also not uh low either. They would benefit from probably an mr antagonist as well and  that's well within our primary care wheelhouseYou know treat all their cardiovascular risk factors get their try to get their blood pressure