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| | The Meducator - Schemes for Problem Sovling - Hypertension |
 | | Such tumors are uncommon, but should be considered in patients with orthostatic blood pressure fall, present in about 60% of patients (vasculature is already maximally vasoconstricted, and volume status is low due to pressure natriuresis [see Note 1]), headaches, about 60% of patients, sweating, about 60% of patients, and palpitations, about 60% of patients. |
 | | If the contralateral kidney is normal, the systemic hypertension will cause "pressure natriuresis" in the unaffected kidney, thus compensating for the sodium retension in the affected kidney, and maintaining the volume status of the patient close to normal (or minimally expanded). |
 | | However, if the second kidney also has renal artery stenosis or the second kidney is missing, natriuresis does not occur, and renal sodium retention either in both kidneys or in the single existing kidney leads to volume expansion and evential suppression of renin and angiotensin II. |
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