SECONDARY HYPERTENSION Secondary hypertension is the name given to the hypertension of which the cause is known, and can be corrected in many cases to cure the hypertension. Renal hypertension : This is due to either renal seretion of vasoactive compounds resulting in increased arteriolar tone or volume expansion due...
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Renin and Hypertension Low renin and High Renin essential hypertension Renin is enzyme secreted by juxtaglomerular cells of the kidney. Hypertensives can be low renin essential Hypertensives and high renin essential hypertensives. Low renin essential hypertension : 20% of patients of essential hypertension have low renin essential hypertension. When patients with...
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Risk factors for adverse prognosis in hypertension with Etiology Non-whites Youth (young) and Males Diastolic blood pressure consistently more than 115 mmHg Smoking and Alcoholism Diabetes mellitus Hypercholesterolemia Obesity End organ damage Cardiac enlargement ECG showing ischemia or LVH with strain pattern MI (myocardial infarction) 9< CHF (heart failure) Eyes –...
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Hypertension Hypertension is a serious disease which may be asymptomatic. According to JNC-7 normal blood pressure is 120/80 mmHg and a blood pressure equal to or more than 140 mmHg systolic and 90 mmHg diastolic is hypertension. Etiology is unknown in 90 – 95% cases. Greater than normal tension or...
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PRINZMETAL’S VARIANT ANGINA This is a syndrome of ischemic pain at rest and with ECG showing transient ST elevation. This sydrome is caused by spasm of coronary artery leading to severe ischemia. It may occur in patients who may not have any coronary artery stenosis. It is a kind of...
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Management of UA / NSTEMI ,with Anti-ischemic treatment -,uses of Nitrates and Beta adrenergic blockers . Risk stratification and Prognosis Early risk within 30 days for death and new infarction is about 10%. Patients at high risk are age more than 65 years, 3 or more risk factors for CAD, documented...
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Clinical features of Unstable Angina(UA) / NSTEMI — There is chest pain in the substernal lesion or epigastrium radiating to neck, left shoulder and left arm. There is severe discomfort or pain. Anginal equivalents like dyspnoea and epigastric discomfort are also frequently present. There is diaphoresis (increased sweating), pale skin,...
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Radiographic x-ray Basic views (PA view) and (AP view) Basic views– There are mainly two basic type of x-ray view , Radiographic examination is the key to the diagnosis of many skeletal abnormalities, Obliteration of normal soft-tissue lines and the presence of a joint effusion are of particular importance, The...
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Dengue feaver treatment, and Dengue feaver food suppliment Dengue feaver is basicaly a viral feaver like all other viral disease it is also self limitting but it have strong symptome, there is basicaly no medicine requair for dengue feaver just maintanence of homeostasis like fluide maintanence, temprature controle etc. profilecticaly some antibiotic...
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Viral Diseases: Introduction This section discusses viral diseases caused by many type of viruses, those preventable by vaccines, and others causing distinct type of syndromes. Rickettsial illnesses and Kawasaki disease are also included. Disorders caused by hepatotropic viruses , €€papillomaviruses , and HIV (see Gynecology and Infectious Diseases: HIV ,...
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