Hypertension & Narrow Hands & Retinal Arteriovenous Nipping: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Hypertension, Narrow Hands, Retinal Arteriovenous Nipping,

Negated

None

Unsure

None

Possible Causes

Hypertension

Hypertensive urgencies frequently present with headache (22%), epistaxis (17%), faintness, and psychomotor agitation (10%) and hypertensive emergencies frequently present [dx.doi.org]

In arterioles, on the other hand, decreases in the density of blood vessels (rarefaction) and in vasomotion amplitude may play a more important role than reductions in lumen [doi.org]

Types of end-organ damage associated with hypertensive emergencies include cerebral infarction (24%), acute pulmonary edema (23%) and hypertensive encephalopathy (16%), as [dx.doi.org]

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Coronary Atherosclerosis

[…] with no hypertension (CAD); and non-hypertensive with no CAD subjects as a control group (Ctr). [ncbi.nlm.nih.gov]

Peripheral artery disease where narrowing of the arteries affects the legs, feet, arms, and hands—typically predicts CAD. [uihc.org]

The images show the diameter of the coronary arteries and any blockages narrowing them. Coronary angiography is an invasive test. [emedicinehealth.com]

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Arteriosclerosis

How Does Hypertension Cause Arteriosclerosis? Hypertension is one of the main risk factors for developing arteriosclerosis. [study.com]

If they show white spots, it could indicate that your leg arteries are narrowed down and not enough blood can reach your feet. [manataka.org]

Signs of arteriosclerosis occurrence recently felt when the arteries narrow and blocked blood flow. This condition can trigger the onset of cardiovascular disease. [medium.com]

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Hypertensive Heart Disease

(disorder) malignant hypertensive heart disease NOS (disorder) hypertensive cardiopathy hypertensive cardiomegaly hypertensive cardiovascular disease edit English hypertensive [wikidata.org]

Upon fundi examination, hypertensive retinopathy might be revealed, whose severity depends on the hypertension duration and severity. [symptoma.com]

Abstract Hypertension and hypertensive heart disease is one of the main contributors to a growing burden of non-communicable forms of cardiovascular disease around the globe [ncbi.nlm.nih.gov]

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Lower Extremity Arteriosclerosis

Medicine Medical Grand Rounds Cleveland Clinic Journal of Medicine. 1989 July;56(5):467-468 Author and Disclosure Information PDF PD F PDF Download References Next Article: Hypertension [mdedge.com]

Relation of incidence and severity of vascular stenosis and four risk factors(diabetes mellitus, hypertension, smoking, and hypercholesterolemia) was also analyzed. [synapse.koreamed.org]

[…] heart disease • Hypertensive nephropathy • Essential hypertension • فرط ضغط الدم الثانوي ( Renovascular hypertension ) • Pulmonary hypertension • فرط ضغط الدم الخبيث • فرط [marefa.org]

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Arteriosclerotic Retinopathy

Hypertensive Retinopathy – History & Symptoms Possible history of systemic hypertension Systemic hypertension largely asymptomatic Hypertensive retinopathy largely asymptomatic [slideshare.net]

[…] in retinal vascular appearance On examination - retinal arteriovenous nipping On examination - retinal vessel narrowing R changes in retinal vascular appearance Retinal arteries [icd9data.com]

[…] arteriosclerotic retinopathy sclerosis of retinal arterioles marked by increased tortuosity, attenuation, copper-wire appearance, perivascular sheathing, nipping at arteriovenous [medicine.academic.ru]

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Malignant Hypertension

We present the case of a 40-year-old patient, with no previous history of hypertension, who was admitted for malignant hypertension. [ncbi.nlm.nih.gov]

[…] before the hypertensive crisis itself. [symptoma.com]

Test results led to a diagnosis of malignant hypertension. [ncbi.nlm.nih.gov]

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Optic Nerve Infarction

CLINICAL CASE: We report a case of a 26 year old woman with Raynaud's phenomenon and livedo reticularis 2 years onset, who presented with visual field defects accompanied by hypertension [readbyqxmd.com]

On the other hand, early decompression of symptomatic children is a great standard for a better chance of visual loss reverse.. [aetna.com]

nipping (sclerotic sign where thickened arteriole compresses venule) GRADE 3 Microaneurysms (which can rupture to form…) Retinal haemorrhages (dot/blot/flame) Cotton wool [oxfordmedicaleducation.com]

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Morbid Obesity

Nonalcoholic steatohepatitis can lead to portal hypertension, which can further manifest as upper gastrointestinal bleeding. [ncbi.nlm.nih.gov]

[…] when attempting to pass a critically narrowed anastomosis. [nature.com]

Similarly, 22.0% of Veterans obtained partial and 13.0% obtained complete resolution from hypertension. [ncbi.nlm.nih.gov]

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Metabolic Syndrome

Hypertension Association. [doi.org]

The patients, aged 14 and 16 years, had truncal obesity, mild mental retardation, hypotonia, narrow hands and feet, a high-arched palate, prominent upper central incisors, [ncbi.nlm.nih.gov]

Metabolic syndrome (MetS) is a clinical condition that includes multiple cardiovascular disease risk factors, including obesity, high blood pressure or hypertension, dyslipidemia [ncbi.nlm.nih.gov]

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Carotid Stenosis

An 83-year-old woman treated by CAS presented with episodes of flushing, dyspnea and palpitations accompanied by transitory desaturation, hypertension, agitation and anxiety [ncbi.nlm.nih.gov]

The narrowing of the arterial wall's diameter renders the blood flow to the brain inadequate; thus, a stroke may occur. [symptoma.com]

hypertension. [omicsonline.org]

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Stroke

This has been reported in particular in the initial treatment of very severe hypertension, and occasionally in the elderly hypertensive. [web.archive.org]

She improved significantly, and eight hours after tPA therapy, had only moderate expressive speech difficulties and mild hemiparesis on the right (dominant hand) side. [web.archive.org]

Smoking causes your blood vessels to narrow and makes your blood more likely to clot. [irishheart.ie]

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Hyperuricemia

Worldwide, approximately one-fourth of the adult population has hypertension. [ncbi.nlm.nih.gov]

Areas most commonly affected are the feet, ankles, hands, wrists, and elbows. [clevelandclinicmeded.com]

[…] between hyperuricemia and future hypertension. [ncbi.nlm.nih.gov]

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Diabetes Mellitus Type 2

OBJECTIVE: To determine types and frequency of side effects of antihypertensive drugs in patients with diabetes mellitus (DM) type 2 and hypertension. [ncbi.nlm.nih.gov]

The narrowed blood vessels in your legs and feet may also cause problems in those areas. [healthline.com]

The 2011 Canadian Hypertension Education Program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy [doi.org]

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Alcohol Withdrawal

Abstract Alcohol withdrawal hypertension is a common clinical problem which often goes unrecognized. [ncbi.nlm.nih.gov]

Targeted narrow-band ultraviolet B phototherapy As monotherapy or in conjunction with systemic medications ( 4 ) Psoralen ultraviolet A With selective hand bath psoralen [unboundmedicine.com]

[…] six to 24 hours after the last intake of alcohol, and the signs and symptoms include tremors, agitation, nausea, sweating, vomiting, hallucinations, insomnia, tachycardia, hypertension [ncbi.nlm.nih.gov]

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Renal Artery Stenosis

Hyponatremic hypertensive syndrome (HHS) is an uncommon disorder, in which hypertension is associated with profound hyponatremia. [ncbi.nlm.nih.gov]

Renal Artery Stenosis Symptoms The symptoms of renal artery stenosis are usually absent until the narrowing become significant. [healthhype.com]

From a clinical point of view, a clear distinction should be made between hypertension associated with atherosclerotic renal artery stenosis and hypertension caused by renal [ncbi.nlm.nih.gov]

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Cushing Syndrome

[…] of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. [frontiersin.org]

You can see them on the back of your hand when you straighten your fingers. [handcare.assh.org]

However, it may manifest with severe and potentially life-threatening electrolytic disorders and arterial hypertension. [medintensiva.org]

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Intracerebral Hematoma

Hypertensive intracerebral hematomas were investigated using chromium Cr 51labeled erythrocytes. [jamanetwork.com]

In carotid ultrasounds, high-frequency sound waves are directed from a hand-held transducer probe to the target area. [mountsinai.org]

A 55-year-old woman presented with sudden loss of consciousness without a past history of hypertension. [ncbi.nlm.nih.gov]

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Vasculitis

Rheumatoid vasculitis is a rare etiology for pulmonary hypertension (PH) in patients with connective tissue disease. [ncbi.nlm.nih.gov]

Buerger's disease In Buerger’s disease (BGD), or thromboangiitis obliterans, small blood vessels in the hands and feet become inflamed and narrowed. [rush.edu]

Both were receiving hydralazine for the treatment of hypertension. [ncbi.nlm.nih.gov]

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Gout

Similar results were obtained among those without hypertension. [dx.doi.org]

Radiograph of the hand. On this image of chronic tophaceous gouty arthritis, extensive bony erosions are noted throughout the carpal bones. [emedicine.com]

Areas most commonly affected are the feet, ankles, hands, wrists, and elbows. [clevelandclinicmeded.com]

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Hereditary Renal Cell Carcinoma

Hypertension is a possible risk factor. [emedicine.medscape.com]

Surgery may be needed if EB causes narrowing of the food pipe or problems with the hands. Read more about treating epidermolysis bullosa. [nhs.uk]

Medicine. 37, 3, s. 401-408 Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review 2D shear wave liver elastography by aixplorer to detect portal hypertension [portal.findresearcher.sdu.dk]

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Systemic Scleroderma

[HT], pulmonary arterial hypertension [PAH] and pulmonary fibrosis [PF]). [ncbi.nlm.nih.gov]

In 1896 Dercum secured roentgenograms of the hands of a patient with scleroderma and noted narrowing of the proximal FULL TEXT [annals.org]

Symptoms of scleroderma include Calcium deposits in connective tissues Raynaud's phenomenon, a narrowing of blood vessels in the hands or feet Swelling of the esophagus, the [medlineplus.gov]

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Cerebral Thrombosis

Many patients of this group had persistent hypertension and small deep infarctions. [ncbi.nlm.nih.gov]

In the narrow sense of the term, CT occurs if a thrombus develops within a cerebral vessel (intrinsic cerebral thrombosis, ICT). [symptoma.com]

Although hypertension led to an earlier onset of ischemic stroke, it did not significantly influence the survival prognosis. [ncbi.nlm.nih.gov]

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Diffuse Scleroderma

Twelve patients (35% of the total cohort) had pulmonary hypertension defined as PAs of 30 mm Hg or greater. [ncbi.nlm.nih.gov]

Symptoms of scleroderma include Calcium deposits in connective tissues Raynaud's phenomenon, a narrowing of blood vessels in the hands or feet Swelling of the esophagus, the [medlineplus.gov]

[…] of blood vessels in the hands and feet. [fortherecordmag.com]

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Raynaud Syndrome

Livedo reticularis and Raynaud phenomenon as well as pulmonary arterial hypertension, venous sinus thrombosis, pulmonary embolism and renal thrombotic microangiopathy have [ncbi.nlm.nih.gov]

Raynaud's (say "ray-NOHZ") phenomenon is a problem when the blood vessels in the hands and feet are extra sensitive and become more narrow than normal. [stanfordhealthcare.org]

Rheumtol., vol. 17, pp 752 – 760 Coffman J.D. 1991 ‘Raynaud’s Phenomenon: An update’, Hypertension, vo. 17, pp. 593 – 602 Kumar V et.al. [healthengine.com.au]

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Diabetes Mellitus

Prevalence of hypertension and DM were 55.9% and 23.3% respectively. [ncbi.nlm.nih.gov]

The narrowed blood vessels in your legs and feet may also cause problems in those areas. [healthline.com]

OBJECTIVES: The aim of this study was to evaluate the effect of pre-hypertension and its sub-classification on the development of diabetes. [ncbi.nlm.nih.gov]

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Left Cardiac Ventricle Disorder

hypertension. [smw.ch]

Fetal therapy: Antenatal transventricular balloon valvuloplasty has been attempted in a handful of cases but the results are uncertain. [sonoworld.com]

[…] taken into account in the routine assessments of hypertensive patients. [ramb.elsevier.es]

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Fabry Disease

All true Fabry patients had arterial hypertension (AHT), and one had hypertrophic obstructive cardiomyopathy (HOCM). [ncbi.nlm.nih.gov]

It can have lots of different symptoms, including pain in the hands and feet and a specific kind of rash. [webmd.com]

Kagoshima, Japan. yuasan@hotmail.com. 2 Department of Internal Medicine, Tarumizu Chuo Hospital, Tarumizu, Japan. 3 Department of Cardiovascular Medicine and Hypertension [ncbi.nlm.nih.gov]

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Atrial Fibrillation

CONCLUSIONS: RAS inhibitors use was associated with a significant reduction in the risk of LAAT in patients with hypertension and AF. [ncbi.nlm.nih.gov]

The operator's hand is emphasising a prominent branch, which is narrow and has an irregular edge. [doi.org]

The most common conditions associated with AF were hypertension (10.3%-71.9%) and valvular heart disease (5.6%-66.3%). [ncbi.nlm.nih.gov]

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Primary Hyperparathyroidism

Primary aldosteronism (PA) represents the main cause of endocrine secondary arterial hypertension in which aldosterone production is inappropriately elevated. [ncbi.nlm.nih.gov]

Which of the following findings would most likely be expected on radiographic evaluation of this patient's hands? [medbullets.com]

[…] and hypertensive-primary hyperparathyroidism patients, respectively. [ncbi.nlm.nih.gov]

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