futuremd
Forum Newbie
Topics: 1
Posts: 3
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A healthy 16-year old boy comes to the physician for an examination prior to participation in school sports.He is at the 90th percentile for height and 75th percentile for weight.his temp is 37 degree centigrade 98.6 degree farenheight,B.P IS 145/95 mmhg,pulse is 66/min,& respiration are 16th/min.Examination shows no other abnormalities.Which of the following is the most appropriate next step in management?
A) Repeat B.P measurement in 2 weeks.
B) Recommend a low sodium diet.
C)Recommend a weight loss program.
D) Begin diuretic therapy.
E) No further intervention indicated.
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| robin082006
Forum Hero
Topics: 471
Posts: 5,125
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Wait 15 min then re-measure his BP, otherwise no intervention needed.
Choice E
___________________
The Key to Succeed is Patience.
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| Dr.Luck
Forum Senior
Topics: 12
Posts: 225
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why not A?
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| haduytu7
Forum Newbie
Topics: 2
Posts: 24
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Systemic hypertension is defined as blood pressure above the 95th percentile for age on repeated measurements over a 6-week period.
So I chose A 
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| futuremd
Forum Newbie
Topics: 1
Posts: 3
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I also think this is A also according to the percentile chart his bp is above 99th percentile but this is just one isolated reading and also he is healthy as most common hypertension i n this age group is secondary hypertension and he is not showing any signs of any underlying disease.
My only concern is can we wait for two weeks?
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