Evaluating a Patient with Onset of Hypertension After Traumatic Injury

Purpose: To evaluate a patient with onset or worsening of hypertension after trauma based on the study of Montgomery et al.

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Evaluation

Are you evaluating a patient with a recent history of traumatic injury?

Yes

Did the patient have significant trauma with multiple injuries?

Yes

Was renal trauma suspected during initial trauma management?

Yes

Select an appropriate answer for each finding

Blood pressure after trauma

Renin levels in the left renal vein

Renin levels in the right renal vein

Findings on left renal angiography

Findings on right renal angiography

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings that suggest occult renal trauma

Is there evidence of renovascular injury to the left kidney?

Is there evidence of renovascular injury to the right kidney?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Systolic Hypertension
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
Failure Handling, When To Refer
- Indications to Refer Patient with Hypertension to Specialist

Therapy

Options
- Management of Hypertension in African Americans
Selection
- Risk Score of Pocock et al for Death from Cardiovascular Disease in Adults with Raised Blood Pressure
- Indications to Refer Patient with Hypertension to Specialist
Pharmacogenetics
Dosage Calculations
- Aldosterone Breakthrough in Patient Receiving ACE Inhibitor or ARB Therapy for Hypertension
Dosage Adjustments
- Rebound Hypertension on Discontinuation of Beta-Blockers or Other Medications
Diet
- Management of Hypertension in African Americans
Physical And Lifestyle
- Hypertension Lifestyle Modifications
- Blood Pressure Control in Patient with Diabetes Mellitus
Failure Handling And Therapy Escalation
- Causes and Risk Factors for Resistant Hypertension
Prevention

Monitoring

Response To Therapy
Adverse Effects
Overdose And Reversal
- Causes of Secondary Hypertension
Comorbid Conditions

Patient Concerns

Quality Of Life
- Blood Pressure Control in Patient with Diabetes Mellitus
Psychological Response
- White Coat Hypertension

Specialty

Cardiology

Objective

clinical diagnosis
including family history for genetics
complications

ICD-10

I10-I15 - Hypertensive diseases

Info

Purpose: To evaluate a patient with onset or worsening of hypertension after trauma based on the study of Montgomery et al.

Specialty: Cardiology

Objective: clinical diagnosis, including family history for genetics, complications

ICD-10: I10-I15,

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