hypertension overv

Question 1

HTN/frame to recall diff dx/ step 2

Answer 1

HTN is either primary aka essential(95-99%) or secondary

Question 2

**HTN/diff dx/ step 3/Secondary hypertension by OS

Answer 2

1. En_do_crine (h^yper or hypo t^hyroidism)/
2. P_ulmona^ry: slee_{p a}pn^ea/
3. Va_scu_lar/
4. G_I: o^be_sity/
5. R_enal (C^KD)/
6. D_rug-in^duce_{d o}r dru^g-relat_ed

Question 3

HTN/2ary HTN/renal causes (2)

Answer 3

C_hroni_{c k}id^ney disease (CKD) /

A_cut^{e ki}dne_{y inj}ury

Question 4

HTN/2ary HTN/

rx cause

Answer 4

real rx

P_rolong^{ed c}or_ticost_eroid th^erapy;

N_SA^ID;

OTC or street rx

Xs of E_tOH/

C_<u>oc</u>aiⁿe/

Sy_mpatho_mimeti^{cs (d}eco^ngestan_{ts; a}no^rectics)/

^Stim_ulants

Question 5

HTN/essential HTN/

risk factors?

Answer 5

FHx of _HTN +

ob_esity +

endo: D_M; hyp^er or hy_pothy^roidism;
lung: slee_{p a}pn^ea;
renal: acu_te kidn_{ey i}nju_{ry or C}KD;

SHx: Xs _alco^hol u_se;

hint:

110 FHx of HTN :110:11+10

1. obesity +
2. endo: DM; hyper or hypothyroidism;
3. lung: sleep apnea;
4. renal: acute kidney injury or CKD;

other 120: 12+20=SHx: Xs alcohol use;

Question 6

HTN/++ common diff dx

Answer 6

Leading Hypothesis:

Essential hypertension/

Active Alternatives—Most Common:

Chronic kidney disease/

rx:Drug/ medication use + Alcohol

SHx:Sleep apnea//

ROS: Thyroid disease/

Question 7

HTN/ Resistant HTN

/ ++ common diff dx

Answer 7

Leading Hypothesis:

Ren_al a^rtery st_en^osis/

Active Alternatives—Most Common:

W_orsenⁱn_{g C}K^D;

Rx: U_se of rx/dr_ugs ^tha^{t i}ncr B_P/

sHx: Li_festyle fa^ctors (us^{e o}f sal_{t; E}tO^{H; ob}esity);
Ob_structiv^{e sl}ee_{p a}pn^ea

Question 8

HTN/very HIGH BP/ ++ diff dx

Answer 8

Hypertensive urgency

Question 9

HTN/very HIGH BP/

must not miss diff(5)

Answer 9

3-Ac_{ute c}oro_nary ^syn^drome/

4-Aort_{ic d}iss^ection/

2- Pu_lmona^{ry e}dem_a/

1- Hype_rtensi^{ve e}nc_ephalo^pathy/

5-Ac_{ute k}idne^{y in}jur_y