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HYPERTENSION (PRESENTATION/Hx (Complications (eyes - eye problems,…
HYPERTENSION
PRESENTATION/Hx
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RFs signs - obesity, hyperlipidaemia
Secondary causes
Renal disease (renal bruits, palpable)
endocrine - cushingoid, thyroid
Complications
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renal - protein, blood, pain
vascular imapirment - cold limbs, etc
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INVESTIGATIONS
target organ damage
Renal - UEs, urine dip (protein, blood), renal USS
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MANAGEMENT
Pharmacological
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regular monitor BP, UEs, ?lipids + Tx
tx after AMBP if stage 1 <80 + all stage 2, immediate tx if severe
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PROGNOSIS
lower 10mmHg >> lower CVS event by 20%, mort 13%
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AETIOLOGY
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secondary
Renal - renovasc disease, any intrinsic renal disease
endocrine - cushings, thyroid, phaeo
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meds - coke, alcohol, coc, etc