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DISCUSSION BOARD HYPERTENSION 1 (2)

DISCUSSION BOARD HYPERTENSION 1 (2)

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DISCUSSION BOARD HYPERTENSION

CASE STUDY 1

JP a 57-year-old account executive presents for BP follow-up visit

Elevated BP identified 2 months ago during annual exam 164./ 86; 170/ 100

Interim BPs taken at local pharmacies have all been normal 129/ 82

Normal hematology, biochemistry, renal function and electrolytes

Normal EKG with no evidence of LVH

Office BP( using auscultatory wall-mounted mercury sphygmomanometer):

152/102 mmHg

How would you explain this observation?

DESIGN A TREATMENT PLAN with rationales

CASE STUDY 2

John is an 86-year-old with a MI history of 3 years ago

His blood pressure has been stable at 135 /80 for the pasted 4 years

He is taking the following medications amlodipine 5 mg qd, ibersartan 300 mg qd,

hydrochlorothiazide 25 mg qd, atenolol l 5 mg qd orally and is compliant.

He comes to the office has the same blood pressure, labs are normal, and EKG

shows old infarction.

DESIGN A TREATMENT PLAN with rationales

What is your plan of action currently?

CASE STUDY 3

Mary is 59 years old with a history of stage 1 HTN, prediabetes and hyperlipidemia

type 2. Her younger brother just had a heart attack at age 40 and her older

brother died 6 months age with a stroke. She has not been to your office in 3

years or any other HCP. Her laboratory values are: HbA1c 6.8%, total cholesterol

320 mg, LDL 105, HDL 25 mg

Identify her risk factors and severity of illness

DESIGN A TREATMENT PLAN with rationales

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DISCUSSION BOARD HYPERTENSION CASE STUDY 1 JP a 57-year-old account executive presents for BP follow-up visit Elevated BP identified 2 months ago during annual exam 164./ 86; 170/ 100 Interim BPs taken at local pharmacies have all been normal 129/ 82 Normal hematology, biochemistry, renal function and electrolytes Normal EKG with no evidence of LVH Office BP( using auscultatory wall-mounted mercury sphygmomanometer): 152/102 mmHg How would you explain this observation? DESIGN A TREATMENT PLAN with rationales CASE STUDY 2 John is an 86-year-old with a MI history of 3 years ago His blood pressu ...
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