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What are potential secondary causes of hypertension that should be screened?
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Endocrine disorders, renal disease, primary hyperaldosteronism, and Cushing's syndrome.
What is the Boston Society of Hypertension guideline's recommendation for hypertension management?
Follow the European Society of Cardiology and the Indian Society of Hypertension guidelines.
Why should beta blockers be avoided in cases like pheochromocytoma?
Beta blockers can exacerbate symptoms due to unopposed alpha activity.
What dietary adjustments are recommended for managing hypertension?
Restrict additional salt intake, and balance considering renal and cardiac status.
What is the significance of the VBG results: pH 7.42, PCO2 43, Bicarbonate 23?
These values represent normal acid-base balance with slight alkalosis.
What are the essential steps in the emergency management of hypertensive urgency?
Gradual reduction of BP over 24 hours with oral antihypertensives.
What is the initial pharmacological management chosen for the patient's hypertension?
Continued ARB (Angiotensin Receptor Blocker) therapy.
Why was a sleep study conducted, and what was its outcome for this patient?
The sleep study diagnosed Obstructive Sleep Apnea, and CPAP therapy was started.
Why is proteinuria monitoring important in long-term hypertension assessment?
It helps detect kidney damage, which is a potential complication of longstanding hypertension.
What are some key exclusion diagnoses noted in the patient assessment?
No signs of dangerous headache, CVA, MI, or aortic dissection.
What criteria were used to categorize the patient as 'Green' during triage?
SOAD criteria, based on GCS, BP, and Respiratory Rate.
What are the typical features found in a patient with Obstructive Sleep Apnea Syndrome?
Symptoms include snoring, choking during sleep, and personality changes.
What intervention was performed immediately upon patient arrival?
IV Cannulas were inserted and Injection PCM 1g IV was given stat.
What are key factors for adjusting antihypertensive medications?
Adjustments based on renal function and avoiding contraindications.
Which long-term complications of hypertension were assessed through ECG and eye examinations?
ECG for Left Ventricular Hypertrophy (LVH) and eye examination for retinal changes.
Define the difference between hypertensive emergency and hypertensive urgency.
Hypertensive emergency involves BP >180/120 with organ damage; urgency involves similar BP levels without organ damage.
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