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15368356
Mr Ghassan
Description
Mind Map on Mr Ghassan, created by mariam abdelaal on 01/10/2018.
Mind Map by
mariam abdelaal
, updated more than 1 year ago
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Created by
mariam abdelaal
almost 6 years ago
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Resource summary
Mr Ghassan
DEMOGRAPHY
48 YRS heavy smoker for 20 yearS
weight = 117kg, height=175cm
brother died young
mother is diabetic, father is hypertensive
developed painless dot sized spot
which are known as xanothelsmata
cholesterol deposits in subcutaneous tissue
caused by:
increase in blood's cholesterol level
diagnosed with hypertension
which is an increase in blood pressure
systolic > 140mmhg & diastolic > 90mmhg
categorized by causes
primary HT
idiopathic
there are some risk factors
non-modifiable
age
gender
genetics
modifiable
smoking
stimulate sympathetic neurons to increase vasoconstriction
obesity
excessive body fat percentage
how is it assessed?
BMI
waist-hip ratio
skin folds & thickness
stress
alcohol
inhibit ADH
secondary HT
due to underlying cause, ex:
Renal artery Stenosis
vascular malformations
endocrine abnormalities
neurological disorders
how is bp regulated?
short term
through peripheral resistance & CO
by
Baroreceptors
Carotid sinus
aortic arch
chemoreceptors
peripheral
central
higher brain cells (medulla)
long-term
altering blood volume through renin-angiotensin 2- aldosterone
through hormones
epinephrine & NE
cause vasoconstriction
Endothelin
secreted by Endothelia cells and potent vasoconstrictor
NO
secreted by Endothelial cells & causes vasodilation
ADH
promotes water retention
ANP
secreted by right atria, causes vasodilation
classified according to
treatment
if not treated, complications may arise
hypertensive retinopathy
retinal vascular damage
classified as
permanent atrial narrowing
sometimes vascular occlusion
heaving apical pulse
occlusion of dorsalis pedis
pharmacological
beta-blocker
ACE inhibitor
ARB
Ca-channel blocker
diuretics
non-pharmacological
diet restriction
smoking cessation
lose weight
increase physical activity
how common is it in the UAE?
40.8% of Emirati adults aged between 35-70 yrs have hypertension
investigations done
urinalysis
creatinine clearance
ECG
fasting lipid profile
renal profile
Media attachments
Bp Chart (binary/octet-stream)
Renin Angio Adel (binary/octet-stream)
Bmi Table (binary/octet-stream)
Waist Hip Ratio (binary/octet-stream)
Classification Of R.N (binary/octet-stream)
Barorecep (binary/octet-stream)
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