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not sure dx is correct

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female

age: 43

current weight: 118lbs ( lost about 20 lbs since Feb 2012)

height: 5'2 "

current dx = hyperaldosteronism

untreated htn in Jan 2012

no symptoms...no night time urination; no brain fog; no fatigue

1.Jan 2012

high blood pressure readings at dr's office: 200/110

2.Feb 2012

ultrasound (looking for renal artery stenonis) found " enlarged adrenal gland "

3.mri w/o contrast: adrenal mass on left side-

elevated cathecholamines - possible pheo???

prescribed phenoxybenzamine (did not help blood pressure - still was 160/99)

4. repeated mri w contrast-

report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L

adrenal gland

5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 .

meds started on 3/17/2012

6. Jan 2012 potassium 4.4

Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8

March 22,2012 potassium 4.0

7.endo sends me for saline suppression test- April 2012

Aldo: 93.7 @ 7:30am

23.2@ 9:45am

11.0 @ 11:55am

I was not supine for 1 hr prior to beginning test; was told to get up at mid

point to urinate(walked down hall to bathroom) then blood sample was drawn; also

was in luteal phase of menstrual cycle... article on file here states that

aldosterone levels are elevated at this time of cylcle; was currently taking

amiloride/hctz 5-50 during test - article on file here states that potassium

sparing diuretics cause aldosterone levels to increase.Also, was watching salt

in my diet- eating low sodium, before test.

I am concerned that the " 11 " is not valid to determine dx because of some of the

aformentioned conditions...

Wondering if diverticulem could be manipulating gland to overproduce

aldosterone?????

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