During a senior wellness exam, which parameter helps detect hypertension related to renal disease?

• A. Urinalysis alone.
• B. Blood pressure measurement.
• C. Body temperature.
• D. Dental score.

Answer: (B)

Measuring blood pressure is the key way to detect hypertension that may be related to kidney disease. Kidney problems can raise blood pressure through mechanisms like reduced renal perfusion triggering the renin-angiotensin-aldosterone system and fluid retention, while high blood pressure can further damage kidneys. Detecting elevated blood pressure during a senior wellness exam allows earlier management to protect both the kidneys and other organs. Urinalysis checks kidney function and damage but doesn’t quantify or diagnose hypertension itself, and body temperature or dental score don’t inform about blood pressure. Blood pressure is usually measured with a Doppler or oscillometric device and should be confirmed on separate visits.