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ihuman-cardio-harvey week 4 docx [100% reviewed]

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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 Ap... nea 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 [Show More]

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