Renal/Kidney Secondary hypertension
1 renal/kidney
1.1 renovascular hypertension (i15.0)
1.2 kidney
1.3 hypertension secondary other renal disorders (i15.1)
renal/kidney
renovascular hypertension (i15.0)
it has 2 main causes: fibromuscular dysplasia , atheromatous stenosis. diabetes
see main article @ renovascular hypertension.
kidney
other known causes include diseases of kidney. includes diseases such polycystic kidney disease cystic genetic disorder of kidneys, pkd ,which characterized presence of multiple cysts (hence, polycystic ) in both kidneys, can damage liver, pancreas, , rarely, heart , brain. can autosomal dominant or autosomal recessive, autosomal dominant form being more common , characterized progressive cyst development , bilaterally enlarged kidneys multiple cysts, concurrent development of hypertension, renal insufficiency , renal pain. or chronic glomerulonephritis disease characterized inflammation of glomeruli, or small blood vessels in kidneys.
hypertension can produced diseases of renal arteries supplying kidney. known renovascular hypertension; thought decreased perfusion of renal tissue due stenosis of main or branch renal artery activates renin-angiotensin system.
also, renal tumors can cause hypertension. differential diagnosis of renal tumor in young patient hypertension includes juxtaglomerular cell tumor, wilms tumor, , renal cell carcinoma, of may produce renin.
hypertension secondary other renal disorders (i15.1)
chronic renal failure
kidney disease / renal artery stenosis – normal physiological response low blood pressure in renal arteries increase cardiac output (co) maintain pressure needed glomerular filtration. here, however, increased co cannot solve structural problems causing renal artery hypotension, result co remains chronically elevated.
renal segmental hypoplasia (ask-upmark kidney)
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