Detailed health history of the patient Blood
Pressure Support Review should be obtained. Information such as the lifestyle, economic status and past medical history should be obtained so as to get a clue as to the probable type of hypertension, or any condition that is responsible for secondary hypertension.
Physical examination (palpation) to detect any signs of adrenal mass or cardiac enlargement. The radial and femoral pulses should also be palpated to determine the rate and quality. Blood pressure readings should be obtained from both arms and legs while the patient is in supine position.
Other forms of investigations to detect secondary hypertension include:
rinalysis To detect epithelial cell cast: this is indicative of chronic glomerular lesions. Presence of pus cells also suggests the presence of proteinuria (presence of protein in urine) or pyelonephritis.
Blood Urea Nitrogen (BUN) and creatinine clearance tests should be carried out to ascertain renal dysfunction. An elevation of BUN and creatinine is indicative of renal problem which may have secondarily elevated the blood pressure.
Serum electrolytes evaluation may be done to detect the presence of primary aldosteronism, hypercalcaemia, hyperkalaemia and chronic renal disease.Intravenous Pyelogram: This is a procedure whereby an x-ray of the renal system is carried out following the intravenous injection of a radio-opaque dye, in order to check the status of the kidneys.This could help in arriving at a proper diagnoses of secondary hypertension since renal disease is known to be a contributory factor.
Physical examination (palpation) to detect any signs of adrenal mass or cardiac enlargement. The radial and femoral pulses should also be palpated to determine the rate and quality. Blood pressure readings should be obtained from both arms and legs while the patient is in supine position.
Other forms of investigations to detect secondary hypertension include:
rinalysis To detect epithelial cell cast: this is indicative of chronic glomerular lesions. Presence of pus cells also suggests the presence of proteinuria (presence of protein in urine) or pyelonephritis.
Blood Urea Nitrogen (BUN) and creatinine clearance tests should be carried out to ascertain renal dysfunction. An elevation of BUN and creatinine is indicative of renal problem which may have secondarily elevated the blood pressure.
Serum electrolytes evaluation may be done to detect the presence of primary aldosteronism, hypercalcaemia, hyperkalaemia and chronic renal disease.Intravenous Pyelogram: This is a procedure whereby an x-ray of the renal system is carried out following the intravenous injection of a radio-opaque dye, in order to check the status of the kidneys.This could help in arriving at a proper diagnoses of secondary hypertension since renal disease is known to be a contributory factor.
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