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WALTER M. KIRKENDALL, M.D.; JAMES W. CULBERTSON, M.D.

AMA Arch Intern Med. 1955;95(4):601-613.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DIAGNOSIS

IN A DISCUSSION of the management of arterial hypertensive disease no topic is of greater importance than proper diagnosis. Despite the fact that we do not find distinguishing characteristics for most of our patients with hypertension, the considerable prognostic and at times therapeutic value of making an etiologic diagnosis renders careful diagnostic study highly desirable. This discussion is directed mainly toward treatment of those patients who have (1) so-called "essential" hypertension or (2) hypertension from known etiologic factors but whose elevated blood pressure fails to respond to causal therapy.

We believe that in order to arrive at the correct diagnosis it is desirable to have a complete history and physical examination (including blood pressure in both arms and in one thigh), roentgenograms of the heart and lungs in three or four projections, a 12-lead electrocardiogram, estimation of basal blood pressure after heavy sedation, fractional phenolsulfonphthalein test, blood urea nitrogen . . . [Full Text PDF of this Article]

Author Affiliations
Iowa City

From the Renal Laboratory, the Department of Internal Medicine, State University of Iowa College of Medicine, and the Medical Service, Veterans Administration Hospital.

Footnotes
The Renal Laboratory is supported by the Youngstown (Ohio) Area Heart Association of the American Heart Association, the National Heart Institute, the Iowa State Department of Health, and the State University of Iowa.