hypertension sub headings Flashcards
HTN/TOD/ which organ to check
target organ damage in the
/Brain/
Eyes/
Heart/
Kidneys/
Peripheral vasculature
HTN/essential HTN/demo
FHx of HTN
Obesity
Coexistent diabetes
HTN//important tests
hint: pt w HTN often have which o dz?
HgbA1c
HTN/CKD/
sx
Often none!!
Sometimes edema; malaise
HTN/Sleep apnea/
demo
Obesity
HTN/Sleep apnea/
sx
Neck circumference > 17 in
Frequent snoring, Witnessed apnea
Daytime somnolence
HTN/Sleep apnea/
important test
Polysomnogram
sleep study
HTN/Thyroid disease/
important test
TSH
HTN/Alcohol/
risk factors
Alcohol hx
HTN/Alcohol/
important questions to ask (2)?
Alcohol hx;
CAGE questionnaire
**HTN/Renal artery stenosis/
risk factor
Smoking!!
hint: HTN and smoking px
HTN/Renal artery stenosis/
signs
VS:
Abrupt onset or accelerated HTN
HTN refractory to 3 medications
HEENT: Severe retinopathy/
renal: Abdominal or flank bruit
Other vascular dz: coronary; carotid; or peripheral/
labs: incr N in blood =Azotemia after use of ACE inhibitor
HTN/Renal artery stenosis/
important tests(3)
1Duplex ultrasonography
3MRA w gadolinium
2CT angiography
hint: + and +precise
HTN/Hyperaldosteronism/
signs(2)
Resistant HTN
<strong>Hypo</strong>kalemia: decr K +
HTN/Hyperaldosteronism/
important test
Aldosterone/renin ratio =ARR