Labels:text | screenshot | black and white | black | document | monochrome OCR: it the Several methods are available to carry o na and differential diagnosis between an adeno ood at hyperplasia. The simplest test is to take b er to 0800, with the patient recumbent, in ord hin activity determine aldosterone levels, plasma re e blood and cortisol levels, and then to repeat th n standing sampling at 1200 after the patient has bee upright for four hours, In patients with renin aldosterone-secreting adenomas, plasma rone levelsactivity is suppressed and plasma aldoste gas ACTHdecrease during the course of the mornin CTH levels fall; the adenoma is sensitive to A ilateral Conversely, in patients with idiopathic b very hyperplasia, the hyperplastic adrenals ar small sensitive to angiotensin II and hence the ling is amount of renin that is released on stan fficient to elevate ...