RT Book, Section
A1 Delzell, Jr, John E.
A1 Chumley, Heidi S.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164345056
T1 Hypertension
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK accessmedicine.mhmedical.com/content.aspx?aid=1164345056
RD 2024/04/25
AB A  40  year-old  man  presents  to  his  family  doctor  after  getting  his  blood  pressure  checked  at  a  local  health  fair.  His  blood  pressure  was  measured  as  180/100  mm  Hg.  He  has  no  symptoms  or  complaints.  His  blood  pressure  today  was  178/98  mm  Hg.  Based  on  these  two  readings,  he  is  diagnosed  with  stage  2  hypertension.  He  has  a  significant  family  history  of  essential  hypertension.  His  examination  is  normal  other  than  an  enlarged  and  laterally  displaced  point  of  maximal  impulse  on  cardiac  examination.  His  body  mass  index  is  normal.  His  physician  orders  a  urinalysis,  complete  blood  count  (CBC),  fasting  lipid  profile,  and  a  chemistry  panel  that  includes  serum  glucose,  potassium,  creatinine,  and  calcium.  An  ECG  shows  left  ventricular  hypertrophy  (Figure  49-1).  He  is  counseled  regarding  lifestyle  changes,  started  on  two  medications,  and  asked  to  follow-up  within  a  couple  of  weeks.