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Hypertension

  • Ddx

    • essential hypertension
    • renal
      • primary hyperaldosteronism (high aldosterone, low renin)
      • renal artery stenosis
      • pheochromocytoma
    • drugs: steroids, estrogen, cocaine, DDAVP
    • vascular: coarctation of aorta (pulse decr in lower ext)
  • Labs

    • BMP (f/u with aldosterone, renin if hypokalemia)
    • UA
    • lipids
    • baseline EKG
    • urine catecholamines if suspect pheo
  • Tx for essential HTN

    • firstline: monotherapy ACEi
    • next, add DHP Ca blocker: amlodipine

  • Print | Citations

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