Differential Diagnosis for Diastolic Blood Pressure (DBP) of 100
Single Most Likely Diagnosis
- Hypertension: A DBP of 100 is above the normal range, suggesting hypertension as the most likely diagnosis. This is a common condition that can be primary (essential) or secondary to other factors such as kidney disease, sleep apnea, or certain medications.
Other Likely Diagnoses
- White Coat Hypertension: This condition is characterized by elevated blood pressure readings in a clinical setting but normal readings at home. It could be a factor if the DBP of 100 is consistently observed only in a medical environment.
- Anxiety or Stress: Temporary elevations in blood pressure can occur due to anxiety or stress, which might explain a DBP of 100 in certain situations.
- Pregnancy-Induced Hypertension: In pregnant women, a DBP of 100 could indicate pregnancy-induced hypertension, a condition that requires close monitoring.
Do Not Miss Diagnoses
- Pheochromocytoma: A rare tumor of the adrenal gland that can cause episodic or sustained hypertension. Although unlikely, missing this diagnosis could be fatal due to the risk of hypertensive crises.
- Renal Artery Stenosis: Narrowing of the arteries that supply blood to the kidneys, which can lead to secondary hypertension. This condition is important not to miss because it may require specific intervention.
- Hyperthyroidism: An overactive thyroid gland can cause increased blood pressure. While not the most common cause of hypertension, it's a condition that needs to be identified and treated appropriately.
Rare Diagnoses
- Cushing's Syndrome: A rare endocrine disorder caused by excess cortisol, which can lead to hypertension among other symptoms.
- Hyperaldosteronism: A condition characterized by the overproduction of aldosterone, leading to hypertension and hypokalemia (low potassium levels).
- Coarctation of the Aorta: A congenital condition where the aorta is narrowed, which can cause high blood pressure, particularly in younger individuals.