Malignant Hypertension Evaluation
The evaluation of malignant hypertension begins with a history and physical examination, with special attention to the blood pressure.
Physical findings in someone with malignant hypertension may include:
- High blood pressure: the diastolic pressure is often in excess of 120 mm Hg
- Leg swelling (bilateral)
- Loss of vision:
- Signs of damage to the eyes, such as:
Tests are necessary to detect the complications of malignant hypertension.
Tests that may be used to evaluate malignant hypertension may include:
- Kidney profile:
- The kidneys are easily damaged by high blood pressure
- Chest x-ray
Less commonly performed tests that may be used to evaluate malignant hypertension include:
Continue to Malignant Hypertension Treatment
- Browning AC, Mengher LS, Gregson RM, Amoaku WM. Visual outcome of malignant hypertension in young people. Arch Dis Child. 2001 Nov;85(5):401-3. 
- Scarpelli PT, Gallo M, De Cesaris F, et al. Continuing follow-up of malignant hypertension. J Nephrol. 2002 Jul-Aug;15(4):431-7. 
- Spencer CG, Lip GY, Beevers DG. Recurrent malignant hypertension: a report of two cases and review of the literature. J Intern Med. 1999 Nov;246(5):513-6.