問題詳情

200.五十三歲健康男性來做高血壓評估,血壓值為 190/105mmHg,實驗室數據為 (serumpotassium 2.1mEq/L),metabolic alkalosis (serum bicarbonate,36mEq/L),normal renalfunction。Plasma rennin activity (PRA) is low (0.5 ng/mL per hour),plasma aldosteroneconcentration (PAC) IS high (22.5ng/mL per hour),the PAC: PRA ratio is 45。經過 3 天的高鹽飲食,24 小時收集尿液有較高的 aldosterone concentration (714mg/day),請問下一步應安排何種適當的高血壓檢查?
(A) Bilateral renal vein sampling
(B) Captopil renal scan
(C) Computed tomography (CT) scan of the abdomen
(D) Renal artery angiogram
(E) MIBG scan

參考答案

答案:[無官方正解]
難度:計算中-1
書單:沒有書單,新增