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 patients
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

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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