<prompt> A 27-year-old male has had a hard to control hypeension for 2 years. He is taking clonidine, hydrochlorothiazide, verapamil, and lisinopril. His blood pressure is 170105 mmHg, pulse 90 beatsmin, and respirations 16min. The cardiopulmonary exam is normal. Pedal pulses are intact and there is no edema or mis-distribution of fat. Laboratories show potassium of 2.7 mEqL, BUN 20 mgdL, creatinine 1.2 mgdL, bicarbonate 33 mgdL, and fasting glucose 98 mgdL. What is the most likely diagnosis?Conn syndromeRenal vascular hypeensionCushing syndromeCarcinoid syndrome  <response>: Presentation: K RFT N HCO322-26 here so alkalosis present Therefore, Hypokalemic alkalosis with HTN Option A- characterized by BP as aldosterone is elevated which also lt urinary loss of K and hydrogen causing Hypokalemic alkalosis. Option B- In renal vasculature hypeension there is RFT Option C- presents with weight gain in patients, HTN as coisol can stimulate aldosterone receptors lt hypokalemic alkalosis. Option D- carcinoid syndrome doesnt lead to hypeension because metabolites produced may cause bronchospasm and HistamineSerotonin release which will cause vasodilation not HTN. 1ST likely diagnosis CONN syndrome 