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Onset less than age of 30 Abrupt worsening of well controlled before BP Resistant HTN Clinical features of secondary process Presence of target organ damage out of proportion to severity of HTN Familial syndromes with HTN- VHL, NF1,PA etc. Adrenal nodule with HTN HTN with flash pulmonary edema HTN and low potassium Diastolic HTN with onset >65 HTN with sleep apnea Unexplained CMP HTN with acid- base disturbances HTN with FH of HTN less than age of 40 and or CVA etc.
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