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#386 Primary Aldosteronism, MRAs, and Renovascular Hypertension: NephMadness Pod Crawl 2023

The Curbsiders Internal Medicine Podcast

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Control Blood Pressure and Retinal Vascular Stenosis

Paul Williams: I feel like if you're going from severe hypertension to controlled you expect a little bit of a rising creatinine there so I'm personally tolerating that. He says he uses whatever imaging they have already had done look at the images if there's a huge discrepancy in renal size no matter if it's CT ultrasound or nonwhatever imaging that's a big red flag for bilateral stenosis and somebody that needs an intervention. Paul Williams: You can be misled if you have fmd so it's difficult really if you have a huge suspicion for fmd you may be better off to go straight to angiogram and just put it to rest especially if it's a young patient low

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