4. SECONDARY: d/t specific and potentially treatable cause 1. Renal diseases 2. Endocrine diseases 3. Congenital cardiovascular causes 4. Drugs 5. Pregnancy
4.1. diabetic nepropathy chronic glomerulonephritis adult polycystic disease chronic tubulointerstitial nephritis renovascular disease conn's syndrome adrenal hyperplasia phaeochromocytoma cushing's syndrome acromegaly coarctation of the aorta NSAIDs oral contraceptives sympathomimetics MOI
5. MALIGNANT HTN: htn + end organ damage
6. HYPERTENSIVE URGENCY: severe htn, symptomatic and no evidence of end organ damage
7. RESISTANT HTN: continued htn despite 3 or > BP meds at high doses (one diuretic)
8. HISTORY: age at onset PMH drug hx FH SocH PHYSICAL: signs of 2dry cause, signs of LVH INVESTIGATIONS: U-dipstix, fasting lipids and glucose, u & e, ecg