An unusual cause of Hypertension _ Adrenal Glands Disorders课件.ppt

First Medical Center health with us An unusual cause of Hypertension  Adrenal Glands Disorders Anatomy of the talk Case study Hypertension and what is secondary Hypertension? Causes and Evaluation- ABCDE molecule Hyper aldosteronism Differential diagnosis Rule of 9 Points to remember Hypertension: Pre Hypertension: blood pressure 120/80 mmHg to 139/89 mmHg not a disease category Hypertension: blood pressure of 140/90 mmHg or above three readings 6 hours apart A quick review on Hypertension Secondary hypertension “Hypertension secondary to underlying, identifiable often reversible cause” Why did I choose to talk on this topic? 15 – 25 % of hypertensive cases constitute secondary HT Client report: 42 year old teacher with HT X 15 years. Referred for quadriparesis possibile plasma pheresis Admission work up: Serum potassium 1.80 mmol /l Serum bicarbonate 28 mmol / l Diagnosis of Secondary Hypertension : “ABCDE” molecule A - Accuracy, Apnea and Aldosteronism B - Bruits bad kidneys (Renal parenchymal disease) C - Catecholamine, Co arctations Cushing’s syndrome D - Drugs Diet E - Erythropoietin Endocrine disorders Conditions leading to secondary hypertension First Medical Center health with us * First Medical Center health with us * Case Presentation by: Dr. Babu Shersad MD, MACP American Board Certified Internal Medicine Nephrology Venue : Dubai Sheraton Creek Date: 12/12/06 Credit Hours : 180 minutes (3hrs.) Approved by: Department of Health Dubai First Medical Center Renal artery stenosis Chronic renal disease Hyper aldosteronism Stress Sleep apnea Hyper or hypothyroidism Pheochromocytoma Pre eclampsia Aortic co-arctations Hyperthyroidism Lability, irritability, palpitations, muscle weakness, weight loss, diarrhea, heat intolerance, menstrual irregularity Tremor, fine hair, onycholysis, lid lag, proptosis, tachycardia, atrial fibrillation, wide pulse pressure. Elevated thyroid hormones, suppressed thyrotropin. Cu