Syndrome of hypertension and hypokalaemia caused by hyperaldosteronism. A diagnosis of Conn's may be caused by a unilateral adrenal adenoma or bilateral adrenal hyperplasia.
Detailed and full general examination is mandatory in the initial assessment of all endocrine patients.
Elevated BP in one limb only may not have been previously noted.
Absent or weak lower limb pulses are suggestive of coarcation of the aorta.
This is mandatory to assess for underlying disease, and to seek evidence of end organ damage and suitability for surgery.
Long standing hypertension may cause end organ damage including retinopathy.
Long standing hypertension of any cause may cause renal damage. Intrinsic renal disease is also a cause of hypertension.
Thyrotoxicosis is an alternative cause of hypertension and may be associated with hypokalaemia.
Cushing's syndrome is an alternative cause of hypertension and hypokalaemia, and may be associated with an adrenal mass.