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Abstract: . . . Tool for Evaluating Hypertension . Ebell MH. Family Practice Management. March 2004:79-81; http://www.aafp.org/fpm/20040300/79atoo.html. DECISION SUPPORT FOR FURTHER INVESTIGATION Abnormal creatinine or severe hypertension Consider renovascular disease. Hypokalemia Consider primary aldosteronism. Thyroid abnormality Consider hyperthyroidism. Upper but not lower extremity hypertension Consider coarctation of aorta. Bruit Consider cerebrovascular disease. Headache, sweating and palpitations Consider pheochromocytoma. Cushingoid body habitus Consider Cushings disease. Persistent or severe elevation Consider medications, illicit drug use and excessive alcohol use. Loud snoring, obesity, gasping and daytime sleepiness Consider sleep apnea. Diagnosis confirmed . . . . . . SIGNATURE: _______________________________________________ PHYSICAL EXAMINATION Page 2 HYPERTENSION ENCOUNTER FORM c ontinued - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Encounter form developed by Mark H. Ebell, MD, MS. Copyright 2004 American Academy of Family Physicians. Physicians may photocopy or adapt for use in their own practices; all other rights reserved. A Tool for Evaluating Hypertension . Ebell MH. Family Practice Management. March 2004:79-81; http://www.aafp.org/fpm/20040300/79atoo.html. DECISION SUPPORT FOR FURTHER INVESTIGATION Abnormal . . . . . . _______________________________________________ PHYSICAL EXAMINATION Page 2 HYPERTENSION ENCOUNTER FORM c ontinued - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Encounter form developed by Mark H. Ebell, MD, MS. Copyright 2004 American Academy of Family Physicians. Physicians may photocopy or adapt for use in their own practices; all other rights reserved. A Tool for Evaluating Hypertension . Ebell MH. Family Practice Management. March 2004:79-81; http://www.aafp.org/fpm/20040300/79atoo.html. DECISION SUPPORT FOR FURTHER INVESTIGATION Abnormal creatinine . . . --2490,3,415,2727,12451
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