Latest Nr 667 Vise Assignments Questions &Correct Answers 2023/2024 Updated
. Etiology: Hypertension -No known cause in 90% of cases of primary HTN -Secondary causes: renal failure, kidney disease, renal artery stenosis, Cushing syndrome, hyper/hypo thyroidism, increased ICP, sleep apnea, oral contraceptives, steroids, cocaine, NSAIDs, decongestants, sympathomimetic, alcohol, antidepressants, caffeine 2. Risk Factors: Hypertension -Modifiable: smoking, DM, high cholesterol, obesity (single most important factor in children), physical inactivity, poor diet, excessive sodium intake, excessive alcohol consumption -Non-modifiable: CKD, family hx, increased age (55 men, 65 women), low socioeconomic status, low educational status, male sex, OSA, stress, pregnancy 3. Assessment: Hypertension -Most are asymptomatic; occipital headache, headache upon waking, blurry vision, fundoscopic exam (AV nicking, exudates, papilledema), left vent. hypertrophy, pregnancy w/HTN and proteinuria, edema, and excessive weight gain 4. Differential Diagnosis: Hypertension -Secondary HTN, white coat HTN (artificial elevation d/t medical environment anxiety)
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