The document discusses various endocrine causes of secondary hypertension, including pheochromocytoma, primary hyperaldosteronism, and Cushing's syndrome. Pheochromocytomas are rare tumors that produce catecholamines and can cause paroxysmal hypertension, headaches, sweating, and palpitations. Primary hyperaldosteronism is often caused by an aldosterone-producing adenoma or bilateral adrenal hyperplasia, and results in hypertension and hypokalemia. Cushing's syndrome is characterized by hypercortisolism and causes central obesity, hypertension, glucose intolerance, and other symptoms. Diagnosis of endocrine causes involves biochemical and imaging tests.

1. MAY 31, 2008

12. TYROSINE DIHYDROXY PHENYLALANINE (DOPA) CATHACHOLAMINES 3 – METHOXY 4 HYDROXY MANDELIC ACID VMA HYDROXYLATED DECARBOXYLATED DEGRADED

18. GLUCORTICOID EXCESS HYPERCORTISOLISM CUSHING SYNDROME ACTH DEPENDENT PITUITARY DEPENDENT CUSHING DISEASE) 65% ECTOPIC ACTH PRODUCING 10% ACTH ADMINISTRATION NON -ACTH DEPENDENT ADRENAL 25% ADENOMA HYPERPLASIA CARCINOMA CORTICOSTEROID ADMINISTRATION

21. IMAGING

22. SURGICAL

26. MAK-AKU 2008

29. THIS PATIENT HAS A BP 155/110

31. THANKYOU FOR YOUR ATTENTION MAK-AKU 2008