A CAse of Hypertension-Part 2
February 7th 2012 16:22
Initially we requested for hypertension work-up which includes the following: Complete blood count/ hematocrit, urinalysis, serum sodium and potassium, Blood urea nitrogen (BUN), creatinine, blood uric acid, fasting blood sugar(FBS), lipid profile, chest radiograph (postero-anterior and lateral), and 12-lead Electrocardiogram (ECG). At the time of this writing, all diagnostic procedures have already been done except for chest x-ray and ECG, due financial constraint. Majority of the laboratory parameters were normal except for elevated creatinine and total cholesterol.
The hypertension work-up is very important for it would give us an idea on the etiology of the hypertension, or the co-morbidities that arise with the condition. It also tells us the extent of damage imposed by the elevation of blood pressure. FBS and lipid profile can detect presence of Diabetes Mellitus and dyslipidemia, respectively. Chest radiography can reveal cardiomegaly and pulmonary congestion. Urinalysis, BUN, creatinine, and even serum sodium and potassium can suggest the status of the kidneys. ECG can provide information on the status of the heart. Baseline information of the uric acid level in the blood is essential especially that we give diuretics or medications that simulate the action of diuretics. It has been shown that with the administration of these drugs, blood uric acid may elevate, which may lead to unfavourable consequences.
TO BE CONTINUED>>>
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