UNIT 3 ADMISSION 
A 20 year old female presented to opd with h/o Fever 1 year back which she got diagnosed with high blood pressure with BP 170/90mmHg.
  She thought it was due to Fever.she didn't get herself reviewed 
   Two months back She got covid vaccination and was associated with Fever,chills and subsided next day
     5 days back on routine checkup her BP was still high showing 180/110mmHg and was brought here to Kamineni by her sister and mother

No history of decreased urine output
No history of Polyuria,polydypsia,polyplegia

Past history:not a k/c/o Dm,HTN, asthma, tuberculosis, epilepsy, Ckd
Personal history:
Appetite-normal
Bowels- regular 
Micturition-normal
No addictions

Family history: Father and grandfather is a k/c/o HTN


General examination:
No pallor 
No cyanosis 
No icterus 
No lymphadenopathy 
No edema

Vitals

Temperature:98.2f
Pr:102bpm 
Rr:16cpm
Bp:
Upper limb-
Left :180/110mmHg
Right :160/110mmHg  
Lower limb -
 Left - 260/130 mm Hg Right - 190/130 mm Hg
Spo2:98% at RA
Cvs:s1s2+
Rs:BAE present 
P/A:soft ,non tender 
CNS:NAD 
Vitals on 10/11/21

Provisional diagnosis: Denovo HTN under evaluation

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