HYPERTENSION

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HYPERTENSION
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• BLOOD PRESSURE As described in Session 3,
  brachial blood pressure should be taken in the
  seated position and recorded on both upper
  extremities. Keep in mind that emotional
  (nervousness, annoyance, etc.) and physiological
  conditions (fatigue, medication, other factors)
  can affect readings.

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• In any case of unusual findings, additional
  pressure checks and questioning of the subject
  are indicated. In every adult age group, elevated
  blood pressure results in greater risk of stroke
  and in developing congestive heart failure. Early
  detection and subsequent treatment can avert
  complications in the hypertensive patient.
  Unaware of the potential seriousness of the
  patients condition, physicians fail to properly
  evaluate the patient and simply commence
  treatment.

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• Most authorities define hypertension as diastolic
  pressures consistently greater than 100 mm Hg in
  a person more than 60 years of age or greater
  than 90 mm Hg in a person under 50 years of age.
  Transient elevation of blood pressure caused by
  excitement or apprehension does not constitute
  hypertensive disease. The diagnosis of
  hypertension should be confirmed on at least two
  additional office visits.

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• If the readings indicate hypertension, then a
  thorough clinical evaluation should be made to
  attempt to determine the extent of the
  hypertensive disease.

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• The disease is uncommon before the age of 20. In
  young people it is commonly caused by renal
  insufficiency, renal artery stenosis, or
  coarctation of the aorta. A sustained systolic
  elevation suggests atherosclerosis of the aorta

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This course reviews the following topics

• Hypertension
• Secondary Hypertension
• Hypertensive Complications
• Genital   Rectal Examination
• Examination of the Male Pelvis
• Ulcerations

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• Rectal Examination
• Disorders of the Male Pelvis
• Male Genital-urinary Infections
• Prostatitis
• Genital bumps
• Genital Rash
• Genital Infestations

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• Prostate Carcinoma
• Female Pelvis Examination
• Intra-Labial Inspection
• Intravaginal Inspection
• Intravaginal Palpation
• Recto-vaginal Examination
• Disorders of the Female

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• Disorders of the Breast
• Breast Carcinoma
• Prolactin and the Breast
• Pelvic Pain
• Pelvic Inflammatory Disease
• Pre menstrual Syndrome (PMS)
• Dysmenorrhea
• Secondary Dysmenorrhea

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• Common Pelvic Disorders
• Vaginal Disorders
• Disorders of the Vulva
• Why Routine PAP Tests?
• Human Papilloma Virus (HPV)
• Obtaining Pap Smears

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• Cancer of the Cervix
• Vulva vaginal Disease
• Pathology of the Cervix
• Uterine Displacements
• Abnormal Pregnancies
• Nutrient Therapy for Women
• How to Examine Your Breasts

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