A 58-year-old man with stage 3 chronic kidney disease presents with persistent hypertension (BP 168/98 mmHg, HR 88) despite triple-agent antihypertensive therapy. He denies chest pain or dyspnea. Duplex ultrasound demonstrates turbulent flow and peak systolic velocity >200 cm/s in the right renal artery. Serum creatinine is 2.2 mg/dL with normal potassium. Which of the following is the most likely diagnosis?

  1. A)Pheochromocytoma
  2. B)Primary hyperaldosteronism
  3. C)Renal artery stenosisGABARITO
  4. D)Thyroid disease
  5. E)Coarctation of the aorta

Explicação

Renal artery stenosis causes renovascular hypertension through activation of the renin-angiotensin-aldosterone system. Duplex ultrasound showing turbulent flow (elevated velocity) in the renal artery is characteristic. Resistant hypertension with elevated crea... Ver explicação completa e trilha adaptativa →

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