Hypertension History

  • General questions:
    • When was the pt diagnosed?
    • Last known BP
    • Course? regularly monitoring?
    • On treatment? Name? Route? Dose? S\E?
    • Other medications: estrogen (OCP\HRT), steroids, NSAIDs, anticoagulants, anti-platelet
    • Other ds: dyslipidemia, DM, previous stroke
  • 2ndry causes:
    • Polycystic: flank pain
    • Adrenal: muscle weakness, cramps
    • Pheochromocytoma: attacks of HTN, tremor, sweating, headache, palpitation
    • Cushing’s: thinning of the skin, easy bruising, fractured bone, swelling, abdominal
    • OSA: sleep disturbances, daytime sleepiness
  • Target organ damage:
    • CNS: Headache, loss of consciousness
    • Eyes: Blurred vision, loss of acuity, blindness
    • Heart: Chest pain, SOB
    • PVD: Claudication
    • Kidney: Frothy urine, hematuria
  • FMHx:
    • HTN
    • Premature CVD\death
    • Familial ds: DM, renal ds, gout
  • Other risk factors:
    • Smoking, alcohol, illicit drugs (especially amphetamine and cocaine)
    • Diet (sodium, high fat)
    • Physical activity
    • Social: family, work, psych (stress)

 


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