Symptoms And Treatments Of Mild Hypertension Essay

Signalment: †¢ 32 years’ old †¢ Female †¢ African-American descent Signs: †¢ Mild hypertension †¢ Acne appeared after treatment with oral contraceptives †¢ BMI of 29 †¢ Blood pressure is 138/88 †¢ Skin shows slight thickening and darkening across the neck Symptoms: †¢ Irregular and infrequent periods since middle adolescence †¢ Periods are more frequent (28-30 days) and menstrual flow varies between periods after her first child †¢ Periods are not excessively painful †¢ Reports frequent urination and always seems to be thirsty Diagnostic Test Results: †¢ Normal sodium †¢ Normal potassium †¢ Elevated blood glucose (fasting) †¢ Normal hematocrit †¢ Normal white blood count †¢ Normal red blood count †¢ Normal cholesterol (total) †¢ Normal LDL †¢ Depressed HDL †¢ Elevated triglycerides Problem List: 1. Mild hypertension: †¢ Likely due to the elevated blood pressure (138/88) †¢ Could be caused by Polly being overweight, genetics or high blood glucose 2. Acne appeared after oral contraceptives †¢ Oral contraceptives might have contained androgenic based progestin †¢ Likely caused an increase in androgen in Polly resulting in an acne flare up 3. Skin shows slight thickening and darkening across the neck †¢ Likely caused by a disorder called â€Å"Acanthosis Nigricans† †¢ Could be caused by too much insulin in the bloodstream †¢ The excess insulin could be caused by insulin resistance due to Polly’s obesity or by type two diabetes †¢ Could be caused by oral contraceptives affecting her insulin level (Estrogen andShow MoreRelatedHypertension: Blood Pressure Measurements1062 Words   |  5 Pagesï » ¿Hypertension 1 Hypertension Timothy L. McNeill Richmond Community College Hypertension 2 Abstract Hypertension is a chronic medical condition in which the blood pressure in the arteries is elevated. 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