Condition Info - BotMed Application

ConditionName

Hypertension

ConditionDescription

Symptoms

Usually asymptomatic;

Symptoms of end organ damage:
-coronary artery dz;
-cerebrovascular dz;
-CHF;
-visual disturbance;
-renal insufficiency;
-peripheral artery dz.

PhysicalFindings

BP: >140/90
For DM: 130/80
Bruit renal artery

Glomerulonephritis: edema

Coarctation of aorta: upper extremity > lower extremity BP

ClinicalTests

First test: ECG
Second: UA (protein)
3ed: glucose in blood
4: cholesterol screening

RiskFactors

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

Most common cause: Essential hypertension (95%);
Common secondary causes:
-renal artery stenosis;
-glomerulonephritis;
-coarctation of aorta;
-acromegaly;
-pheochromocytoma;
-hyperaldosteronism;
-Cushing syndrome.

TreatmentOptions

Weight loss (most effective)
Sodium restriction 
Dietary modification
Exercise
Tobacco cessation

Try life style modification 3-6 m before you start medication

PharmOptions

Hydrochlorothiazide – first best drug
If BP 160/100 -> 2 medication immediately:
Ace/ARB
BB
CCB

WebLink

https://www.merckmanuals.com/en-ca/professional/cardiovascular-disorders/hypertension/hypertension