Hypertension

Causes

Appropriate Tests

 

Following documentation of hypertension and clinical assessment of likely cause, further investigation may be indicated: Creatinine, Electrolytes, Urinalysis, Urine microscopy.

Essential (idiopathic)

 

Renal disorders/disease, especially

 

  • Glomerulonephritis

 

  • Renal tubulo-interstitial disorders

 

  • Renal artery stenosis

Confirmatory tests include measurement of renal vein Renin by selective catheterisation - consult pathologist.

  • Polycystic kidney disease

See Cystic renal disease.

Pregnancy-induced hypertension

Urate, Protein urine.

Endocrine disorders, especially

 

  • Cushing's syndrome

 

  • Hyperthyroidism

 

  • Phaeochromocytoma

 

  • Hyperaldosteronism

 

Oestrogen therapy, including

 

  • Oral contraceptives

 

Alcoholism