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. An 18-year-old man comes to the physician 1 week after he had a blood pressure of 140/110 mm Hg during a routine precollege examination. His temperature is 37.1 C (98.7 F), blood pressure is 140/100 mm Hg, pulse is 92/min, and respirations are 12/min. The upper extremities appear to be more muscular than the lower extremities. Radial pulses are normal; femoral, posterior tibial, and dorsalis pedis pulses are decreased. A grade 2/6 systolic murmur is heard over the precordium, anterior chest, and back. An ECG shows left ventricular hypertrophy. Which of the following is the most appropriate next step in management?
A ) Limiting physical activity
B ) Repeat blood pressure measurement in 1 month
C ) Initiate a low-sodium diet and exercise program
D ) Pharmacologic management
E ) Operative treatment
Aashi Forum Moderator
Topics: 114 Posts: 1,062
03/07/07 - 01:05 PM
#2
E ) Operative treatment ___________________ "Obstacles are those frightful things you see when you take your EYES off your goal."
huyniid Forum Elite
Topics: 9 Posts: 195
03/07/07 - 01:12 PM
#3
E.
dr_jojo
03/07/07 - 02:40 PM
#4
thanx ,
Dr_kholioo Forum Junior
Topics: 9 Posts: 74
03/08/07 - 05:11 AM
#5
what is the diagnosis ?!! ___________________ “We all have great inner power. The power is self-faith. There's really an attitude to winning. You have to see yourself winning before you win. And you have to be hungry. You have to want to conquer.” Arnold Schwarzenegger
dr_jojo
03/08/07 - 06:38 AM
#6
coarctation of the aorta
robin082006 Forum Hero
Topics: 471 Posts: 5,123
03/08/07 - 09:15 AM
#7
E ___________________ The Key to Succeed is Patience.
dr in trouble Forum Guru
Topics: 62 Posts: 610
03/08/07 - 03:06 PM
#8
E, if after surgery the problem not resolved then can go for balloon angioplasty. ___________________ If u want to do something, do it today as there is no tomorrow.
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