webjeee
Forum Guru
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A 21-year-old man comes to the clinic for a follow-up visit. He has been found to be hypertensive with bilateral arm blood pressures in the 140-160/100-110 mm Hg range on several visits. The patient has no past medical history and has no complaints. Review of systems is significant for occasional “band-like headaches". Physical examination is normal including a normal retinal examination. Urinalysis is normal. An electrocardiogram demonstrates normal sinus rhythms at a rate of 75/min, with mild left ventricular hypertrophy. His blood pressure is now 150/100 mm Hg after treatment with maximal doses of atenolol, hydrochlorothiazide, and captopril. The next step in the evaluation of this patient's hypertension is to
A. order a duplex ultrasound of the renal arteries
B. order an echocardiogram
C. prescribe triamterene
D. repeat the electrocardiogram
E. repeat the ophthalmoscopic examination
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| Guptashutosh
Forum Elite
Topics: 35
Posts: 354
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A
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| Guptashutosh
Forum Elite
Topics: 35
Posts: 354
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look 4 the cause of secondary htn
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| webjeee
Forum Guru
Topics: 99
Posts: 354
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yes, that's the answer they provided.
Great job.
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