laacRnrveuos sieesda is het mots mocnom esuac fo °2 HTN in tu.lasd aCn eb t/d siaiehmc romf lraen isosents ro uccmaoavirlrs eeiasds. nCa ehra rnale sibrtu rleatla ot ublcuiism.

niaM ceasus fo nearl ryerat nsssoei:t

• ocerrlcsehottAi pielspar—lxumqao rd31/ rlfn eao rat,ery ylsulua in elrdo amse,l ssrkmeo.

• cmrFrasuluboi idalsldt—payaiss r3/d2 eaf lorn ryraet ro aelsmntge cnb,sarhe llyus auoygnu ro -dailgdmede msafle.e

abL lvaseu ebdsa :fof

1. esontiSs drsaceees oldbo wofl ot ego.suurllm
2. loaguJlmxurreta asrauatpp )AG(J snseoprd yb itnecregs enri,n wchhi eorscnvt onnnntggieaieos to iesngtonain I.
3. oniiengAnst I si eovcrdtne to onisteaning II (T)IIA by gninionteas getnoivcrn enzmey CEA( -i-n gsl)un
4. ATII seiras olbod useprser by 1() catrcontign eraraoiltr mtohso cmuel,s rcsngnaiei aottl paprrhelie sntcarseie dna 2)( ortimngop erlanad eaersel fo dotoealr,sen iwhhc erscenisa oresrinbpaot fo misduo wh(ere aN+ gose H2O llwi wll)ofo in hte lstdai ctdnleouov bluute pdgn(exina aasmlp oelvu.m) naC adle to apmyhokiael ne(es in the labs fro stih uti)esnoq
5. edsLa ot TNH wiht necdraesi asalmp rinen adn lliauatern hryaotp deu( ot owl ldboo f)lwo fo teh faeectdf eykind; inheter erafteu si esen in aiprymr etreishopnny

The patient has a bruit which is turbulent blood flow due to something obstructing like stenosis causing renovascular HTN.

• if you measure just aldo, what are you expecting? You heard the bruit, you know there's probably stenosis so does a high aldo tell you the cause? Typically the non-invasive approach to assessing renovascular HTN is checking plasma renin.

• MR angiography can better explain if the bruit is the reason why the patient has renovascular HTN. We learned in my renal course, gold std is renal arteriography but you can use MRA.