Chronic hypertension physical examination: Difference between revisions
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The physical examination should look for end organ disease and underlying causes of hypertension. | The physical examination should look for end organ disease and underlying causes of hypertension. | ||
===General=== | ===General=== | ||
* [[Obesity]] | * [[Obesity]] may be present which is a risk factor for hypertension | ||
===Skin=== | ===Skin=== | ||
* [[Diaphoresis]] whould suggests a [[pheochromocytoma]] | * [[Diaphoresis]] whould suggests a [[pheochromocytoma]] | ||
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* [[Moon facies]] and [[Hirsutism]] would suggest [[Cushing's syndrome]] | * [[Moon facies]] and [[Hirsutism]] would suggest [[Cushing's syndrome]] | ||
===Eyes=== | ===Eyes=== | ||
* [[Retinal hemorrhage]] | * [[Retinal hemorrhage]] may be seen in [[malignant hypertension]] | ||
* Retinalvenous crossing changes | * Retinalvenous crossing changes | ||
===Neck=== | ===Neck=== | ||
* [[Thyromegaly]] | * [[Thyromegaly]] may be present in the setting of [[hyperthyroidism]] | ||
===Heart=== | ===Heart=== | ||
* [[S3]] and [[S4]] would suggest [[heart failure]] | * [[S3]] and [[S4]] would suggest [[heart failure]] | ||
===Lung exam=== | ===Lung exam=== | ||
* [[Rales]] would suggest heart failure | * [[Rales]] would suggest [[heart failure]] | ||
===Abdomen=== | |||
* A [[renal bruit]] suggests the presence of [[renovascular hypertension]] | |||
==References== | ==References== | ||
Revision as of 03:15, 4 October 2012
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Hypertension Main page |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Assistant Editor-In-Chief: Taylor Palmieri
Overview
Physical Examination
The physical examination should look for end organ disease and underlying causes of hypertension.
General
- Obesity may be present which is a risk factor for hypertension
Skin
- Diaphoresis whould suggests a pheochromocytoma
Head
- Moon facies and Hirsutism would suggest Cushing's syndrome
Eyes
- Retinal hemorrhage may be seen in malignant hypertension
- Retinalvenous crossing changes
Neck
- Thyromegaly may be present in the setting of hyperthyroidism
Heart
- S3 and S4 would suggest heart failure
Lung exam
- Rales would suggest heart failure
Abdomen
- A renal bruit suggests the presence of renovascular hypertension