RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57673021
T1 Chapter 47. Hypertension
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57673021
RD 2024/04/20
AB A  40  year-old  man  presents  after  his  blood  pressure  was  measured  as  180/100  mm  Hg  at  a  health  screening.  He  has  no  complaints.  His  blood  pressure  today  was  178/98  mm  Hg.  Based  on  these  two  readings,  he  is  diagnosed  with  stage  2  hypertension.  His  family  history  is  very  positive  for  essential  hypertension.  His  examination  is  normal  other  than  an  enlarged  and  laterally  displaced  point  of  maximal  impulse.  His  body  mass  index  is  normal.  The  provider  sends  him  for  a  urinalysis,  complete  blood  count  (CBC),  fasting  lipid  profile,  and  a  chemistry  panel  that  includes  blood  glucose,  potassium,  serum  creatinine,  and  calcium.  An  ECG  shows  left  ventricular  hypertrophy  (Figure  47-1).  He  is  counseled  regarding  lifestyle  change,  started  on  2  medications,  and  asked  to  follow-up  within  a  couple  of  weeks.