Renal Stenosis and Hypertension | Medical Algorithm

Are you evaluating a patient with hypertension?

Yes

Age of the patient

years

Does the patient have a bruit over the abdomen or flank?

Yes

Does the patient have a high grade retinopathy?

Yes

Does the patient have evidence of peripheral vascular disease?

Yes

Is the hypertension refractory to 3 or more drugs?

Yes

Has the serum creatinine increased after use of ACE inhibitors?

Yes

Is the increase in serum creatinine after ACE inhibitors due to volume depletion, hypotension or diuretic effect?

Yes

Serum creatinine

Is there evidence for asymmetry in size between the 2 kidneys?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors for renovascular disease present

Risk of renovascular disease

Are there sufficient indications to evaluate the patient for renovascular disease?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Renal Artery Stenosis | Risk Factors Suggesting Poor Outcome for Vascular Interventions
- Clinical Rule of Krijnen et al for Predicting the Probability of Renal Artery Stenosis
Clinical Diagnosis, Including Family History For Genetics
- Renal Artery Stenosis Diagnosis Clinical Rule
- Clinical Rule of Krijnen et al for Predicting the Probability of Renal Artery Stenosis
Other Testing
- Renal Arterial Stenosis | Doppler Ultrasonography for Predicting Outcome of Revascularization
Criteria For Diagnosis
- Findings Suggesting Presence of Renovascular Hypertension in Pediatric Patient

Therapy

Selection
- Renal Artery Stenosis | Risk Factors Suggesting Poor Outcome for Vascular Interventions
- Renal Artery Stenosis | Indications for Revascularization

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

Factors for Identifying Patients at Risk for Renal Artery Stenosis & Renovascular Hypertension

Purpose: To identify a hypertensive patient at risk for renal arterial stenosis using the risk factors of Rosner.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10