A 50 years old male presents with severe refractory hypeension, weakness, muscle cramps and hypokalemia, the most likely diagnosis is: (A) Hypoaldosteronism, (B) Hyperaldosteronism, (C) Cushing syndrome, (D) Pheochromocytoma
Answer is A. Manifestation of Conn's Syndrome (Primary Hyperaldosteronism) Muscle weakness and fatigue (due to hypokalemia) Hypeension without edema Polyuria and polydipsia Investigations Hypokalemia * Metabolic alkalosis * Hypernatremia * Increased Aldosterone * Low renin