Hypertension with which to distinguish symptoms of hypertension?

(1) substantive hypertension, including chronic renal glomerular nephritis, chronic pyelonephritis, polycystic kidney disease, renal tumors, and other attributable. There are chronic glomerulonephritis nephritis history, a routine urine protein, and erythrocyte type of change, not improved with the drop in blood pressure, and two out of proportion, often accompanied edema, anemia and a characteristic face. There are chronic pyelonephritis history of urinary tract infection, urine routine a large number of leukocytes, urinary positive bacterial culture, urinary tract irritation, kidney and renal pelvis angiography showed that the scars and atrophic changes.
(2) renal artery stenosis renal artery stenosis caused renal ischemia blood pressure increased. Renal artery stenosis caused mainly in the elderly renal artery atherosclerosis (70%), in the majority of patients with upper abdominal and (or) renal vascular area can be heard noises. Hypertension rapid onset, increased significantly, renal angiography can be diagnosed.
(3) pheochromocytoma more disease incidence is less than 50 years old with no family history of hypertension. Paroxysmal hypertension showed, but they are continuing, often malignant hypertension. Seizures have severe headache, palpitation, and other large sweat performance. The positive urine sugar, blood catecholamines and their metabolites 3 - methyl-4 - hydroxybutyric acid amygdalin (VAM) increased significantly. Injection α receptor blocker benzylamine oxazoline, blood pressure decreased significantly help diagnosis. Application of ultrasound, CT scan, intravenous urinary tract imaging, angiography adrenal tumor can be identified, such as the location.
(4) primary aldosteronism disease hypertension accompanied muscle weakness, polyuria, nocturia, headache, drink more, laboratory tests serum potassium, chloride lowering blood, hyponatremia, the combination of increased carbon dioxide blood , and aldosterone in the urine increased. Oral antisterone for testing could resume normal blood biochemistry. Adrenal be diagnosed by CT scan and renal venous angiography.
(5) collagen nodular artery disease and inflammation around the main artery can cause high blood pressure and kidney damage , and therefore need to identify the disease.