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Malignant hypeension can lead to all of the following except: - March 2007

A
Hypeensive retinopathy
B
Respiratory failure
C
Renal failure
D
Hemolytic blood picture
High-Yield Explanation
Ans. B: Respiratory failure Essential hypeension indicates that no specific medical cause can be found to explain a patient's condition. Secondary hypeension indicates that the high blood pressure is a result of (i.e., secondary to) another condition, such as kidney disease or tumours (pheochromocytoma and paraganglioma). Etiology of secondary hypeension Renal hypeension -This includes diseases such as polycystic kidney disease, chronic glomerulonephritis or renovascular hypeension; due to stenosis of a main or branch renal aery. Adrenal hypeension- primary aldosteronism, Cushing syndrome, pheochromocytoma Coarctation of the aoa Drugs-NSAIDS (Ibuprofen) and steroids can cause hypeension. Rebound hypeension-High blood pressure that is associated with the sudden withdrawal of various antihypeensive medications. Drugs commonly associated with rebound hypeension include centrally-acting antihypeensive agents, such as clonidine and beta-blockers. Complications: Cerebrovascular accident Myocardial infarction Hypeensive cardiomyopathy Hypeensive retinopathy Hypeensive nephropathy Hypeensive encephalopathy

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