mesh
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.A 63-year-old white male who has recently retired from work as a plumber for over 30 years returns to his family physician saying that he has been feeling very down lately, and has been having decreased appetite and a loss of interest in activities that used to give him pleasure. He is a smoker, drinks no alcohol, and is being treated by his family physician for moderate essential hypertension. Which of the following is the most appropriate next step in management?
a) Discuss activities that will help him enjoy his retirement
b)Order a thyroid stimulating hormone level (TSH)
c)Order electroconvulsive therapy (ECT)
d)Prescribe an antidepressant
e)Review the patient's medication history
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| Geroo
Forum Guru
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A
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| sobia naeem
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e.
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| Rasul
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A
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| achilles
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E-review the patients medication history ??
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| mesh
Forum Guru
Topics: 77
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The correct answer is
E. Many medications used to control hypertension, such as propranolol, and in the past, reserpine, are known to occasionally lead to depressive symptoms. By evaluation of the patient's medication record, the physician can evaluate which medications were started at what time and can make adjustments to dosage or switching to alternative medications to control hypertension. Changing the antihypertensive medication will possibly improve the depressive symptoms without the need to start an antidepressant .
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