A 34-year-old woman comes to the physician for a follow-up examination after a blood pressure measurement 2 weeks ago was 150/100. Today, blood pressure is again 150/100. She sometimes experiences headaches. She takes a combined oral contraceptive pill. She smokes one pack of cigarettes daily. Laboratory studies show:
Sodium 143 mEq/L
Potassium 3.1 mEq/L
Bicarbonate 28 mEq/L
Which of the following is the most likely diagnosis?
Adverse effect of medication
Compensatory cortisol hypersecretion
Essential hypertension
Mineralocorticoid excess
Pheochromocytoma
