The following is a case study with four questions. You are required to respond to all questions. Response to each question should not exceed 250 words and the length of the entire assignment is 1000 words.
Assignment 2 – Case study 2.
Roger is a 59 year old Caucasian male who presented to his GP for a general check-up and had no particular symptoms of concern. In addition to a number of blood tests, Roger was examined by the doctor, including recording of his blood pressure.
The doctor measured a blood pressure of 150/100mmHg. The GP discussed hypertension with Roger and discussed the importance of following this up.
1. Hypertension (in addition to a number of medical conditions) may be considered as primary or secondary. Explain these concepts giving 3 examples of secondary hypertension and their pathophysiology.
2. Roger was asymptomatic and only came for a check-up. Why is it important for this "silent disease" to be detected and appropriately treated?
3. The renin-angiotensin system plays a central role in blood pressure regulation. Explain the renin-angiotensin system with reference to Conn’s syndrome.
4. Hypertension is treated using a number if lifestyle and medication approaches. Explain how different anti-hypertensive medications act to reduce blood pressure.
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