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The Curbsiders Internal Medicine Podcast

#420 Recap Extravaganza: 2023 Highlights and Top Stories

Dec 25, 2023
The podcast covers a range of interesting topics including menopause therapy, hemochromatosis, hematuria management, diabetes updates, xylazine overdose and withdrawal, primary aldosteronism, resistant hypertension, delirium, AKI risk, statin therapy in HIV patients, inpatient heart failure management, kratom use implications, and effectiveness of RSV vaccines.
01:16:34

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Quick takeaways

  • Primary aldosteronism should be evaluated in patients with difficult-to-control blood pressure.
  • Recognizing the symptoms of xylazine overdose is crucial in identifying and treating patients affected by this emerging trend.

Deep dives

Primary Aldosteronism: A Common Cause of Resistant Hypertension

Primary aldosteronism is the most common cause of resistant hypertension and should be evaluated in patients with difficult-to-control blood pressure. Initial diagnostic testing should include measurement of morning plasma renin activity (PRA) or plasma renin concentration (PRC) and plasma aldosterone concentration. Avoid overuse of beta blockers as fourth-line agents for hypertension management.

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