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Diagnosis and Investigations of High Blood Pressure
Hypertension
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Routine Investigations of Hypertensive Patient should always include.
Chest X-Ray
ECG
Echocardiography
Urinalysis
Fasting Blood Lipids
Urea Creatinine and Electrolytes
If the urea or the creatinine levels are abnormal, creatinine clearance,
Intravenous excretion Urography, Renal Ultra sound,and other tests of renal functions are
necessary.
If Co-arctation of Aorta is suspected, digital vascular imaging with intravenous
contrast injection or MRI will usually demonstrate the lesion.
If the patient is not taking diuretics, low serum Potassium should suggest an
endocrine problem. and aldosterone , cortisol,and renin measurements should be performed. A history
suggestive of Pheochromocytoma can be investigated with measurement of serum catecholamines or
urine catecholamines metabolites.
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What will you see in Xray of a hypertensive Patients.
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Large Heart, Pulmonary congestion if heart failure has developed. Rib notching in co-arctation of
Aorta.
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What will you see in ECG of high blood pressure patient?
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The ECG may show left ventricular hypertrophy, strain pattern in lateral chest leads, or signs of
ischaemia.
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