Tiêu đề SCA- IMA- CVS Dr A.Ibrahim. 4th July 24.pdf ✅

Dr.Amr Ibrahim MB ChB, MD, Alexandria University, Egypt MSc, University of Tsukuba, Japan
HYPERTENSION- 1 ST PRESENTATION / DX Case ▪57 M, nil PMH, Nil regular meds, NKDA ▪BP with the Nurse => 162/102 ▪Average ambulatory BP 151/96 ▪Came to discuss his BP (Wife asked him to check his BP).
▪ S&S of HTN and its complications ( Please remember => HTN is Multi-system disease) ! ▪ Ask about chest pain, confusion, HF symptoms ▪ Ask about secondary causes: Any hx of DM, kidney disease, FH of HTN or kid disease S&S of thyroid problems Please ask about meds including OTC meds like herbal remedies and cough meds. ▪ Detailed hx about social life, don’t forget to ask about ▪ Caffeine and salt intake
RFs Age Gender Ethnicity Genetic factors/FH Social deprivation Co-existing DM or renal disease. Lifestyle Anxiety and emotional stress 2ndry causes Renal (Most common) Other conditions Drugs CKD (Most common) Chronic pyelonephritis Diabetic nephropathy GN PCKD Obstructive uropathy RCC Vascular Coarctation of the aorta Renal artery stenosis Endocrine 1ry hyperaldosteronism Phaeochromocytoma Cushing's syndrome Acromegaly Hypothyroidism Hyperthyroidism Others OSA, CTD. Alcohol Ciclosporin. Cocaine, amphetamine COCP Corticosteroids. Erythropoietin. Leflunomide. Liquorice NSAIDs HRT (oestrogen) ADHD rx OTC Sympathomimetics Venlafaxine.