The physical examination – part ii hypertension – male and female pelvis

THE PHYSICAL EXAMINATION – PART II HYPERTENSION – MALE AND FEMALE PELVIS

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.

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 patient’s condition, physicians fail to properly evaluate the patient and simply commence treatment.

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.

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

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

This course reviews the following topics:

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

 Rectal Examination  Disorders of the Male Pelvis  Male Genital-urinary Infections  Prostatitis  Genital “bumps”  Genital Rash  Genital Infestations

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

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

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

 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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