Secondary hypertension

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Contents

Secondary Hypertension

  • Age Based Approach after a physical exam looking for specific stigmata
Child/Teen
  • UA
  • Urine culture
  • Renal U/S
  • Transthoracic Echo (For Coarc)
Young Adult
  • MRI with gadolinium contrast OR CT Renal Artery
  • TSH
  • Transthoracic Echo (For Coarc if other workup negative)
Middle Age Adult
  • Renin Aldosterone Ratio (>20, 5x; >30, 28x)
  • TSH
Older Adult
  • MRI with gadolinium contrast OR CT Renal Artery
  • TSH
  • UA
ANY
  • OSA
  • 24 hour urine cortisol
  • 24 hour urinary fractionated metanephrines


References

AAFP Secondary Hypertension

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