Snapshot A 23-year-old woman with no significant past medical history presents to her primary care physician for an annual physical exam. She was found to have a blood pressure of 156/94 mmHg. She has never had any episodes of high blood pressure in the past and she has no family history of hypertension. She is prescribed captopril. After two weeks, she presents to the emergency room with hypertensive urgency. Captopril was immediately stopped and after stabilizing her blood pressure, an ultrasound revealed bilateral renal artery stenosis. Introduction Clinical definition login to view 2 more bullets Epidemiology login to view 14 more bullets Pathogenesis login to view 13 more bullets Associated conditions login to view 4 more bullets Prognosis login to view 9 more bullets Presentation History login to view 6 more bullets Physical exam login to view 6 more bullets Imaging Ultrasound login to view 5 more bullets CT angiography login to view 5 more bullets MR angiography login to view 5 more bullets Studies Labs login to view 5 more bullets Invasive catheter angiography login to view 2 more bullets Histology login to view 2 more bullets Diagnostic criteria login to view 2 more bullets Differential Essential hypertension login to view 1 more bullet Primary hyperaldosteronism login to view 1 more bullet Obstructive sleep apnea login to view 1 more bullet Treatment Medical login to view 6 more bullets Operative login to view 13 more bullets Complications Renal dysfunction can progress to end-stage renal disease login to view 4 more bullets