Topic Info - BotMed Application

TopicName

Hypertension

ClinicalTests

High serum Ca; high PTH; low serum phosphates: hyperparathyroidism;
High serum cortisol: Cushions syndrome;
Low TSH; high free T4: hyperthyroid;
High aldosterone-to-renin ratio, low serum K: Conn's syndrome;

If cause is not clear: electrolytes, BUN, creatinine, calcium, TSH,
urine albumin-creatinine ratio, fasting glucose; 
Lipid panel (total cholesterol, high-density lipoprotein [HDL], triglycerides, low-density lipoprotein [LDL]).

ImagingStudies

ECG;
Sleep study: sleep apnea;
24-hours blood pressure monitoring;
24-hours metanephrines: pheochromocytoma;

PhysicalExams

Normal: systolic BP< 120 mm Hg and diastolic BP< 80 mm Hg;
Elevated: systolic BP 120-129 mm Hg and diastolic BP< 80 mm Hg;
Stage 1 hypertension: systolic BP 130-39 mm Hg or diastolic BP 80-89 mm Hg;
Stage 2 hypertension: systolic BP :I? 140 or diastolic BP~ 90 mm Hg;

Comment

Check KI and Thyroid!

WebLink

https://www.aafp.org/afp/2010/1215/p1471.html