Answer BOF 16

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BOF: 16

A 23 year old female has been referred to the hypertension clinic by her general practitioner.

As she walks in to the clinic you note that she is short and has a webbed neck.

What is the likely cause of her hypertension?

a)   Coarctation of the aorta

b)   Renal artery stenosis

c)    Cushing’s syndrome

d)   Adult polycystic kidney disease

e)   Conn’s syndrome

Answer: a)

Short stature and webbed neck in a female would make you suspect Turner’s syndrome. This may be associated with coarctation of the aorta which can cause hypertension

Revision Tip

Revise clinical features of Turner’s syndrome ACES for PACES page 178, 346

Revise causes of hypertension ACES for PACES page 196

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