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Hypertension Evaluation Labs
- Labs: General for All Patients
- Urinalysis
- Complete Blood Count (Hemoglobin or Hematocrit minimum)
- Fasting lipid profile
- Chemistry Panel (Chem7, SMA7)
- Fasting Glucose
- Serum Potassium (Consider primary Aldosteronism if Hypokalemia - even borderline low)
- Renal Function: Serum Creatinine, BUN
- Electrocardiogram
- Labs: Optional Studies (as indicated)
- Serum Calcium
- Uric Acid
- Chest XRay (evaluate for coarctation, heart size)
- 24 hour Urine Creatinine
- 24 Hour Urine Protein
- Evaluation: Secondary Hypertension
- Indications
- Hypertension Onset under age 30 or over age 60
- Hypertension refractory to aggressive treatment
- Previously controlled Hypertension now refractory
- Accelerated Hypertension or Malignant Hypertension
- Signs OR symptoms of secondary Hypertension
- Labs
- Aortic Coarctation
- Exam
- Chest XRay
- Cushing's Disease
- 24 hour Urine Cortisol or Salivary cortisol
- Pheochromocytoma
- 24h Urine Metanephrine
- Vanillyamandelic Acid (VMA)
- Renal parenchymal disease
- Renal Ultrasound
- Renal Artery Stenosis
- MR Angiography
- Primary Aldosteronism (strongly consider if Hypokalemia)
- Aldosterone to plasma renin ratio
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