How to distinguish between renal hypertension and hypertension

In one clinical hypertension is extremely common. Overall, it can be divided into primary hypertension and secondary hypertension two categories. Renal hypertension is the most common one secondary hypertension, edema or no without making urine checks, with the easy that is a primary hypertension. Renal hypertension and hypertension in the treatment, prognosis is very different, it is necessary to identify them as serious. So how to distinguish between renal hypertension and hypertension? This requires careful inspection and inquiry history, a clear causal relationship between the incidence clear priorities. Renal hypertension can be broken substantive renal hypertension and renal vascular hypertension. One substantive renal hypertension, is not typical in history, the differential with essential hypertension have some difficulties, then renal biopsy to be done to clear diagnosis.
(1) substantive renal hypertension: These patients have more history of kidney disease, such as acute nephritis, chronic nephritis, nephrotic syndrome and chronic pyelonephritis, and so on.
(2) Essential Hypertension: General older, or have family history of essential hypertension, prior hypertension, renal damage after only. If proteinuria, renal insufficiency, etc..
(3) renal vascular hypertension: was particularly prevalent in the under 30 years of age or over the age of 55, it suddenly malignant hypertension, or past history of hypertension, malignant hypertension to a sudden. China should pay attention to history and whether waist injury, or threat to the back of the abdominal pain, abdominal pain,lear, we can see that hilar lymphadenopathy, or with hilar inflammatory infiltration.
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