If the answer is Yes to Box 5, then Box 6, in the shape of a hexagon, asks the question: Does patient have an acute injury or illness? i. If the answer is Yes to Box 6, then Box 7, in the shape of a rectangle: Return after acute episode resolved (typically within 4 weeks) 1. Box 7 connects to Box 4, in the shape of a rectangle: Obtain office blood pressure (see Sidebar 1) ii. If the answer No to Box 6, then Box 8, in the shape of a rectangle: Assess the need for and implement lifestyle modification, then follow up for adherence (e.g., diet, exercise, weight loss, alcohol moderation) b. If the answer is No to Box 5, then Box 15, in the shape of a rectangle: Screen blood pressure periodically; address other CV risk factors (including healthy diet and physical activity); in patients with known or suspected target organ damage (see Sidebar 3), consider possibility of masked HTN (consider HBPM or ABPM) 4. Box 8 connects to Box 9, in the shape of a hexagon, asks the question: Is SBP 130 mm Hg or DBP 90 mm Hg a. If the answer is Yes to Box 9, then Box 10, in the shape of a hexagon, asks the question: Confirm diagnosis of HTN by measuring blood pressure after 1-4 weeks (see Sidebar 2); is diagnosis confirmed? i. If the answer is Yes to Box 10, then Box 11, in the shape of a rectangle: Obtain history and physical and assess for target organ damage and comorbid conditions (see Sidebar 3); consider baseline testing (e.g., basic metabolic panel, urinalysis, EKG, A1c, other tests), as appropriate ii. 