Differential Diagnosis for Hypertension (BP 210/110)

Single Most Likely Diagnosis

• Essential Hypertension: This is the most common cause of hypertension, and a blood pressure reading of 210/110 is consistent with a diagnosis of hypertensive crisis, which can be a complication of uncontrolled essential hypertension.

Other Likely Diagnoses

• Chronic Kidney Disease: Kidney disease is a common cause of secondary hypertension, and a blood pressure reading of 210/110 could be indicative of kidney dysfunction.
• Sleep Apnea: Sleep apnea is a common condition that can cause hypertension, and a blood pressure reading of 210/110 could be related to underlying sleep apnea.
• Adrenal Gland Disorders: Certain adrenal gland disorders, such as pheochromocytoma or Cushing's syndrome, can cause hypertension.

Do Not Miss Diagnoses

• Pheochromocytoma: Although rare, pheochromocytoma is a life-threatening condition that can cause severe hypertension, and missing this diagnosis could be fatal.
• Aortic Dissection: Aortic dissection is a medical emergency that can cause severe hypertension, and missing this diagnosis could be fatal.
• Eclampsia: Eclampsia is a life-threatening condition that can cause severe hypertension in pregnant women, and missing this diagnosis could be fatal.

Rare Diagnoses

• Hyperthyroidism: Hyperthyroidism is a rare cause of hypertension, but it can cause a significant increase in blood pressure.
• Hyperparathyroidism: Hyperparathyroidism is a rare cause of hypertension, but it can cause an increase in blood pressure due to increased calcium levels.
• Coarctation of the Aorta: Coarctation of the aorta is a rare congenital condition that can cause hypertension, particularly in young adults.