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#377 Adrenal Incidentalomas, Primary Aldosteronism with Dr. William Young

The Curbsiders Internal Medicine Podcast

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Is This a Good Case Detection Test?

The only rule is it should be a morning blood test because aldosterone levels fall through the day in patients with aldosterone, producing adenomas. So if I got a case like the one you just mentioned, patients on a nascent inhibitor and thizodyoretic, renin's low, ald testosterone is only seven. Why is renin low? And I actually would go ahead and do a 24-hour urine on a generous sodium diet for aldosterone sodium and creatinine. If the urine aldosterone is above 12 micrograms and the sodium is above 200 milligrams, the sodium isabove 200 milligram per deal. That patient's

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