Chronic hypertension physical examination

Hypertension Main page
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Classification Primary Hypertension Secondary Hypertension Hypertensive Emergency Hypertensive Urgency
Screening

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Physical Examination

• Look for end organ disease:

Eyes

• Retinal hemorrhage
• Retinalvenous crossing changes

Neck

• Thyromegaly

Heart

• S3 and S4

• Lung exam
• Neurological Examination
• Possible symptoms:

  • Osteoporosis
  • Obesity
  • Muscle weakness
  • Moon facies
  • Hirsutism
  • Elevated lipids
  • Elevated sugar
  • Low potassium
  • Elevated creatinine
  • Headaches
  • Palpitations
  • Diaphoresis
  • Labile blood pressure