Rejected at 8:40 p.m. Oct, 31, 2023 ] by Alex
Author: alberto525
Related Note: 1497390253071
Rationale for change

adding "fasting serum glucose" to the extra section next to HbA1c

Rejection reason

cannot support new images not already in the collection

Missed Questions Missed Questions
Text
In addition to history and physical, patients initially diagnosed with hypertension should have the following basic testing, which may be remembered with the mnemonic HELP CUT blood pressure:

{{c1::HbA1c/Fasting glucose::H}}
{{c1::ECG (baseline)::E}}
{{c1::Lipid Profile::LP}}
{{c1::Chemistry panel::C}}
{{c1::Urinalysis::U}}
{{c1::TSH::T}}
Extra
- Urinalysis detects kidney damage (hematuria & urine protein/creatinine ratio)

- Chemistry panel (electrolytes/creatinine assessing for renal function, HbA1c assessing for diabetes)

- Lipid profile to screen for other atherosclerotic risk factors

- ECG to evaluate for CAD and LVH; look for changes associated with hypertensive heart disease

-TSH anomalies are one of the most missed causes of secondary hypertension (both hypo and hyperthyroidism can cause hypertension)

Initial evaluation of hypertension
Renal- Serum electrolytes (Na, K, Ca)
- Serum creatinine
- Urinalysis
- Urine albumin/creatinine ratio (optional)
Endocrine- Fasting glucose or hemoglobin A1c
- Lipid profile
- TSH
Cardiac- ECG
- Echocardiography (optional)
Other- CBC
- Uric acid (optional)
Lecture Notes
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Pathoma
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Boards and Beyond
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First Aid
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Sketchy
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Sketchy 2


Watch Hypertension SOA



Watch Hypertension Management
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