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Hypertension Case Study

It is believed that the arterial hypertension is characteristic only for adults. However, children and even infants can also suffer from it.

Topic Relevance

It is impossible to completely cure this ailment, but it can be kept under control. A sharp change in the level of blood squeeze is sometimes the cause of the amplification of vascular accidents: heart attacks, strokes, thromboembolism, and chronic cerebrovascular accident. Therefore, the level of blood squeeze should be controlled, even if the deviations are not felt by the patient.  A case study on hypertension helps to diagnose this ailment in the early stages and start monitoring in dynamics with the aim to reduce the risk of a sequela of the ailment in the future.

Causes of Hypertension

The causes of arterial hypertension remain unknown in 90% of cases. This makes a case study of hypertension especially relevant since the accurate definition of the causes of the amplification of the ailment can help to develop the most reasonable methods of its prevention. Nevertheless, certain factors are known. They include:

  • Age;
  • Hereditary predisposition;
  • Sex (most men suffer arterial hypertension);
  • Smoking and alcohol;
  • Salt, obesity, lack of physical activity;
  • Excessive exposure to stress;
  • Kidney ailment;
  • Increased level of adrenaline in the blood;
  • Congenital heart ailments;
  • Regular intake of certain medicines;
  • Complication of pregnancy.

In connection with the danger of the outcomes of hypertension and some complexity of its independent detection at the initial stage, it is very important to have a competent and timely diagnosis of the ailment. The amplification of this ailment should be observed in dynamics, and in this situation evolve hypertension case study can be a scientific help.

Signs of Hypertension

The insidiousness of hypertension is not only in the sequela to which it leads, but sometimes also in its latent flow. Typically, the first signs of hypertension do not cause fear; sometimes people do not pay attention to them, suggesting that they are just overtired. Increased blood squeeze may not be accompanied by any signs and detected by accident when measuring blood squeeze. In some cases, there may be a headache, dizziness, nausea, loss of consciousness.

Intracranial hypertension in children

In the first year of life, internal hypertension in children will adversely affect the behavior of babies. Children suffer from intracranial hypertension in a situation of a mother’s pathological pregnancy and childbirth, especially preterm infants.

Therefore, pregnancy induced hypertension case study helps to analyze the pregnancy and childbirth in order to understand what is the main cause of the amplification of this ailment in the child.

Symptoms of Intracranial Hypertension in Children:

  • Bulging and straining fontanel, there are discrepancies between the seams between the main bones of the skull;
  • The child’s behavior changes, he sometimes screams and behaves restlessly;
  • There are signs characteristic of cramps, tremor, vomiting, or regurgitation, not associated with eating;
  • There is a restless and excessively sensitive sleep – excessive excitability;
  • The rhythm of sleep-wakefulness is broken, that is, at night the child is awake, and he sleeps in the daytime;
  • There was an observed neurogenic anorexia in infants before and after the year with. Children begin to negatively treat the feeding procedure;
  • Consciousness is broken of varying degrees of severity.

Case Study Hypertension Example

Michael and Lara Mitchell, the parents of the newborn Bob Mitchell, turned to the pediatrician with complaints about the child’s restlessness. They said that their three-month-old son has become very restless and irritable, can cry for a long time for an unknown reason, he restlessly sleeps and sometimes refuses to breastfeed. The initial thing that the pediatrician should do is to take the gauge of the circumference of the head of the baby and refer the patient to a neurologist.

Diagnosing

An examination of a neurologist is the most reliable way of arranging the accurate diagnosis. He should prescribe a measurement of an intracranial squeeze in the manner that is most appropriate in conformity with the age of the child. Since newborns have a large fontanel open, brain research can be performed using ultrasound. This method is called “neuro sonography.” It is also necessary to make an echo encephalogram of the brain. This method not only allows measuring squeeze but also reliably show the state of the ventricles of the brain.

Such complex procedures as puncture of the ventricles of the brain and spinal puncture help to find out the figures that characterize the magnitude of an intracranial squeeze. These procedures are carried out only on strict indications when other methods of research are ineffective.

Treatment

To eliminate the bad outcomes of pregnancy and difficult births, it is necessary to feed the baby for a long time, observe the sleep regime, keep emotional contact with him and walk in the fresh air more sometimes.

The child is prescribed drugs, soothing the nervous system, improving blood circulation, vitamins, and diuretics. Physiotherapeutic procedures are also applied. If the cause of increased intracranial squeeze is an anatomical disorder, the child is operated to restore the outflow of cerebrospinal fluid from the brain.

Prognosis

Intracranial squeeze returns to normal by the age of six months of most children. This happens when perinatal encephalopathy (reversible brain damage) is promoted by the hypertensive syndrome.

If recovery does not occur, the diagnosis already sounds as minimal brain dysfunction. This does not mean that the baby is seriously ill. This means that he has a weak nervous system, and ICP at critical life moments can rise, and his well-being can be worse.