NR 569 Week 1 Assignment; Review of Systems for Differential Diagnosis

explored to ensure there is no volume deficit causing the patient to feel dizzy when changing positions. Even though it appears the opposite, this can be a manifestation of hypertension. 3. Cardiovascular Do you have new swelling in Heart Failure. Edema is a your legs? manifestation of heart failure, and its presence would warrant further testing like echo and blood tests. With this patient, not knowing how long they may have been hypertensive, makes this a necessary avenue to explore since heart failure can be caused by uncontrolled hypertension Do you have any chest pain? Angina. Chest pain due to angina can be a result of uncontrolled hypertension. The cardiovascular disease resulting from the HTN can restrict the heart's ability to pump blood resulting in angina both stable and unstable 4. Eyes Have you had any changes in Hypertensive retinopathy. your vision? Hypertension damages the vessels in the retina. The resulting vision loss from the helps diagnose hypertension. A positive response to vision changes can help confirm while a negative can also be beneficial in eliminating the diagnosis of essential and exploring secondary causes. Keratoconus. This diagnosis can be a negative for determining if eye changes are Have you recently had an eye caused by hypertension. It can exam? also be a factor in determining if the increased intraocular comorbidity is a sensitive subject to males and has to be addressed directly, as it can be a good indicator of damage to the vascular system due to uncontrolled hypertension. Has there been a change in how Acute/Chronic kidney disease. much or often you urinate? Decreased urine output is often a early indicator of uncontrolled blood pressure. The kidneys are sensitive to changes both hypo and hyper in blood pressure. Decreased urine output is an indicator of hypotension, while enuresis can be an indicator of uncontrolled hypertension. 8. Neurological Have you recently fainted? Determining if a patient goes orthostatic can be an eliminating factor for hypertension but can lead to a vascular disease diagnosis. When hypertension goes uncontrolled for long periods, the resulting damage can affect the blood flow of the heart resulting in hypotension due to CHF. Do you feel any numbness or Neuropathy tingling in your arms or legs? 9. Endocrine Are you diabetic? Hyperglycemia. Diabetes is often seen with HTN. This is due to obesity or other dietary factors. Determining if the person is diabetic or not is key in either ruling out or confirming hypertension, since the same factors can contribute