Clinical Findings Suggesting Secondary Hypertension

Age at onset of the hypertension

Did the pateint have an abrupt onset of severe hypertension?

Has the hypertension been resistant to standard medical therapy?

Does the patient have hypokalemia without an obvious cause?

Does the patient have an abdominal bruit and/or diffuse atherosclerosis?

Has the patient developed renal damage following therapy with ACE inhibitors?

Is the hypertension labile and associated with episodes of sweats, tremors or headaches?

Is there a family history of renal disease?

Does the patient have palpable polycystic kidneys?

Has the patient developed damage to the heart, kidney or ocular fundus soon after onset of the hypertension?