Are you sure you want to trigger topic in your Anconeus AI algorithm?
4.7 of 7 Ratings
A 75-year-old man with hypercholesterolemia, coronary artery disease, and history of a transient ischemic attack (TIA) comes to your office for evaluation of his worsening hypertension. Two weeks ago, his blood pressure was 160/100 mmHg and his creatinine was 0.54 mg/dL. He was started on an ACE inhibitor. Today, he presents for a followup, his blood pressure is 180/115 mm Hg, and his creatinine is 1.2 mg/dL. The patient reports that he has been compliant with his blood pressure medication. What is the most likely cause of his hypertension?
Progression of his essential hypertension
Renal artery stenosis
Coarctation of the aorta
Select Answer to see Preferred Response
A 75-year-old over-weight gentleman with a long history of uncontrolled hypertension, diabetes, smoking and obesity is presenting to his primary care physician with a chief complaint of increased difficulty climbing stairs and the need to sleep propped up by an increasing number of pillows at night. On physical examination the patient has an extra heart sound just before S1 heard best over the cardiac apex and clear lung fields. The EKG and chest x-ray are attached (Figures A and B respectively). What is the largest contributor to this patient's symptoms?
Acute Myocardial Infarction