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Symptoms » High blood pressure » Diagnosis Checklist
 
Dr. Huntley's

DIAGNOSIS CHECKLIST
for High blood pressure

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques in his assesment of the symptom: High blood pressure. These may include a physical examination or other medical tests. Your doctor may ask several questions when assessing your condition. It is important to remember that your consultation is a two-way process and any extra information you can share with your doctor may help them with their diagnosis.

Some of the questions your doctor may ask are listed below:

  1. Previous history of elevated blood pressure?

    Why: Date of initial diagnosis and levels of elevated blood pressure.

  2. Previous treatment for the elevated blood pressure?

    Why: what medications have you used in the past, what have been the result and any side effects from them.

  3. Past medical history?

    Why: heart attacks , strokes, peripheral vascular disease, kidney disease, diabetes mellitus or recent weight gain.

  4. Other cardiovascular risk factors?

    Why: e.g. obesity, elevated cholesterol, impaired glucose tolerance, smoking, salt intake, alcohol consumption, exercise levels, chronic consumption of large amounts of pain killers especially those containing phenacetin and non-steroidal anti-inflammatory medications.

  5. Are you pregnant?

    Why: elevated blood pressure affects between 3-8 % of all pregnant women, especially in the second half of the first pregnancy.

  6. Family history?

    Why: of high blood pressure , heart attacks, strokes , elevated cholesterol, obesity, diabetes, renal disease, alcohol abuse and premature sudden death.

  7. Medications

    Why: prescribed and over the counter? - some medications can raise blood pressure or interfere with blood pressure medications e.g. oral contraceptive pill, hormone replacement therapy, steroids, non-steroidal anti-inflammatory medications, nasal decongestants and other cold remedies, appetite suppressants, amphetamines, analgesics, ergotamine, cyclosporine.

  8. Dietary history?

    Why: high salt intake and licorice can increase blood pressure . Caffeine intake? - Caffeine elevates blood pressure and is dose related.

  9. Alcohol history?

    Why: alcohol elevates blood pressure and is dose related.

Questions your doctor may ask about related symptoms:

Sometimes, other symptoms may be present and may help your doctor analyse your condition. These may include:

  1. Symptoms that may indicate the effects of high blood pressure on target organ damage

    Why: e.g. headache, shortness of breath and ankle swelling due to congestive cardiac failure, chest pain due to coronary artery disease, leg claudication due to peripheral vascular disease and blood in the urine due to renal damage.

  2. Symptoms suggesting secondary causes of high blood pressure

    Why: e.g. leg claudication with coarctation of aorta; blood in urine with glomerulonephritis or polycystic kidneys; progressive weakness and need to urinate at night with Conn's syndrome; paroxysmal episodes of headache, pallor, sweating and heart palpitations with phaeochromocytoma; loud snoring, morning headache and daytime sleepiness with obstructive sleep apnea.


 » Next page: Types of High blood pressure

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