<prompt> Primary hyperaldosteronism what is seenHyperkalemiaHyponatremiaMaetabolic alkolosisFall in aldosterone with sodium loading  <response>: The clinical hallmark of mineralocoicoid excess is hypokalemic hypeension Due to excess mineralocoicoid action lead to potassium and H depletion sodiu retention Serum sodium tends to normal due to concurrent fluid retention Because of h depletion lead to metabolic alkalosis Clinical features: 1 hypokalemia 2 hypeension at young age generally 40 3 metabolic alkalosis 4muscle cramps in severe case tetany due to metabolic alkalosis 