Harvey hoya ihuman 100% Complete Solutions.

NRNP6531-Harvey Hoya Ihuman Key

Findings. 2022-2023

Primary Diagnosis: Essential hypertension: This also known as primary hypertension. It is the

type of hypertension without an identifiable cause. ICD10 CODE: - I10

Second Primary diagnosis: Sleep Apnea unspecified. ICD 10 CODE-G47.30: Mr. Harvey

symptoms are pointing out towards an obstructive sleep apnea (OSA). Some of the symptoms are

the daytime somnolence, morning headache. That may be contributing to his hypertension

diagnosis.

3 Differential Diagnosis

• Secondary hypertension: This should be described as a hypertension caused by another

medical condition. That means that the elevated blood pressure results from identifiable

underlying condition could be led to diagnosis of secondary hypertension. (Domino, et al,

2021). Since Mr. Harvey has an undiagnosed sleep apnea for so long, that might be the

cause of the elevated blood pressure. (Domino, et al, 2021), states that the most common

secondary cause of high blood pressure in elderly are sleep apnea, renal disease, renal

artery stenosis, and primary aldosteronisms (PA).

• White coat/pseudo resistant hypertension: This is an elevation of blood pressure in

office setting, and lower BP level outside the office. Sometimes, this mostly caused by

anxiety or nervousness. (Buttaro, et al 2019). Looking into Mr. Harvey’s history, his

blood pressure elevated whenever he is with a doctor or a nurse. There is no record to

shows that he has had an elevated BP at home. So, there is a probability that he was

having a white coat hypertension. This can be ruled out with the associated symptoms,

and diagnostic test results.

• Masked Hypertension: This is when the BP is high at home, and low in the office.

(Domino, et al 2021,) This can be easily ruled out by making sure that the patient uses a

good home blood pressure machine and know exactly how to perform a blood pressure

check.

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Additional laboratory test and diagnostic

• Comprehensive metabolic panel (CMP)

• Complete Blood count (CBC)

• 12 lead ECG

• Chest x-ray PA & Lateral

• Free thyroxin (FT4)

• Complete urinalysis 9may reveal protein)

• Lipid panel

• Fasting Glucose or Hemoglobin A1c.

• Echocardiogram, Transthoracic (TTE)

• Polysomnography/sleepy study, to check for sleep apnea.