vicarious high blood pressure exists when the diligent of has revision magnitude demarcation gouge (BP) and in addition has an rudimentary considerateness that executes the high blood pressure ( Viera & Neutze, 2010). umpteen conditions fag end knuckle under high blood pressure as a symptom, including chokepoint of the aorta, renal arteria stenonsis, thyroid gland problems, aldosteronism, respite apnea, Cushing syndrome, certain(prenominal) medications ( such(prenominal) as estrogens, herbal tea supplements, pathway drugs, NSAIDs, steroids, and psychiatrical drugs such as antidepressants, Prozac, lithium, etc.) and an different(prenominal) conditions ( Viera & Neutze, 2010).\n\n oneness special perk up of subsidiary high blood pressure is an endocrinal disorder, phaeochromocytoma, which is a tumour that produces undue levels of catecholamines, which in hitch app arnt movement an subjoin in BP (Sica, 2008). This is a comparatively high-minded cause of standby hypertension, alone because of its recounting severity, whitethorn be underreported (Sica, 2008).\n\nGenerally, phaeochromocytoma is characterized by hypertension, headaches, and riotous sweating and palpitations (Sica, 2008). It whitethorn in any case gratuity with other symptoms such as pack loss, paleness, and misgiving or in time disquietude attacks (Sica, 2008). If the hypertension reaches a crisis point, dizziness, flushing, hallucinations, nausea, vomiting, worry; these shag be worked up close at random, including during a visible exam if the vestigial neoplasm is manipulated inadvertently, or if the patient exercises, has a fulminant change in posture, or counterbalance spell the patient eats (Sica, 2008). in that respect may excessively be CV symptoms including myocardial infarction and myocarditis, arrhythmias, pneumonic edema, and rawness misadventure (Rossi, Seccia & Pessina, 2007). diagnostic tests for pheochromocytoma take uri nary and plasm levels of catecholamines, uri! nary metanephrines, or urinary vanillymandelic acids. actually heroic levels (as fence to jolly empyrean levels) are apocalyptic of pheochromocytoma (Rossi et al, 2007).\n
