Physical Examination for Patients with Essential Hypertension

The elements of a proper initial physical examination for patient with new essential hypertension

Initial Patient Physical Exam Form:
What are the elements of a proper initial physical examination for a patient with new hypertension as per JNC 7? (Choose all that apply)


    1) Two blood pressure measurements 2 minutes apart on each arm
    2) Calculate the BMI (body mass index)
    3) Fundiscopic exam
    4) Assess the tympanic membranes
    5) Examine the thyroid
    6) Check for neck bruits
    7) Ausculate the heart for rate and murmurs
    8) Check the PMI (point of maximal impact)
    9) Check for abdominal bruits
    10) Check for hepatosplenomegaly
    11) Perform a genital examination
    12) Assess peripheral veins
    13) Evaluate for lower extremity edema
    14) Neurological evaluation
    15) Perform a general skin examination


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    Focused History for Patients with Essential Hypertension